Individual
SHAUNTAY SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
349 BOGLE ST, SOMERSET, KY 42503-2895
(606) 485-4611
Mailing address
349 BOGLE ST, SOMERSET, KY 42503-2895
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
283585
KY
Other
Enumeration date
02/08/2021
Last updated
12/09/2025
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