Individual
SHIANNE BRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9881
(502) 626-6140
Mailing address
200 BRULE ST, FORT KNOX, KY 40121-6100
(270) 900-0373
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164828
KY
1041C0700X
Clinical Social Worker
Primary
252683
KY
Other
Enumeration date
12/16/2015
Last updated
12/11/2023
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