Individual
SHELBY JENEISE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 RUCKRIEGEL PKWY, LOUISVILLE, KY 40299-3765
(502) 208-6798
Mailing address
277 SERENA CIR, LEITCHFIELD, KY 42754-5712
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
292588
KY
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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