Individual
SHANNON REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 STONE CREEK PKWY STE 1A, LOUISVILLE, KY 40223-5393
(502) 653-7211
Mailing address
10210 BARKLEY DR, LOUISVILLE, KY 40299-3121
(502) 356-3111
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
292955
KY
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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