Individual
SHANNON PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 EUCLID AVE STE 203, LEXINGTON, KY 40502-6429
(859) 705-8075
Mailing address
PO BOX 870, GEORGETOWN, KY 40324-0870
(859) 705-8075
(502) 795-3584
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
277167
KY
Other
Enumeration date
07/03/2019
Last updated
05/18/2022
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