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Individual

BRENDA S SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
13000 EQUITY PLACE, STE 106, LOUISVILLE, KY 40223-3976
(502) 341-2411
Mailing address
PO BOX 436046, LOUISVILLE, KY 40253-6046
(502) 341-2411

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
106668
KY
106H00000X
Marriage & Family Therapist
35002033A
IN
106H00000X
Marriage & Family Therapist
MFC 40254 (INACTIVE)
CA

Other

Enumeration date
11/28/2006
Last updated
03/25/2024
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