Individual
JERRICA KEISHA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(216) 468-5000
(216) 456-8128
Mailing address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(216) 468-5000
(216) 456-8128
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
282911
KY
Other
Enumeration date
09/16/2019
Last updated
02/07/2024
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