Individual
JENNA BETH SHIPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
507 TROJAN TRL, GLASGOW, KY 42141-2214
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261348
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14913833
CAQH
—
05
—
7100694200
—
KY
Enumeration date
01/12/2017
Last updated
06/16/2023
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