Individual
SHELBY SALLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
722 SCOTT ST, COVINGTON, KY 41011-2418
(859) 331-3292
(859) 578-2864
Mailing address
503 FARRELL DR, COVINGTON, KY 41011-3775
(859) 578-3204
(859) 578-3273
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162141
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
12/14/2012
Last updated
08/17/2016
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