Individual
KAYLEE SHACKLEFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2042 NASHVILLE PIKE, GALLATIN, TN 37066-3161
(615) 590-7213
Mailing address
1080 JENKINS LN, HENDERSONVILLE, TN 37075-9781
(615) 519-7076
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4203
TN
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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