Individual
SHANE SHERIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LCADC
Contact information
Practice address
1100 WALNUT ST, OWENSBORO, KY 42301-2956
(270) 689-6598
Mailing address
PO BOX 1637, OWENSBORO, KY 42302-1637
(270) 689-6500
(270) 689-6677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171574
KY
101YP2500X
Professional Counselor
Primary
268090
KY
Other
Enumeration date
02/16/2017
Last updated
01/22/2021
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