Individual
MS. SHANA LEIGH GOGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCA
Contact information
Practice address
944 RED HOUSE RD, RICHMOND, KY 40475-9392
(502) 252-1865
(502) 631-9660
Mailing address
1939 GOLDSMITH LN, SUITE 143, LOUISVILLE, KY 40218-2006
(502) 252-1865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
170710
KY
Other
Enumeration date
09/20/2016
Last updated
09/22/2016
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