Individual
TERESA SHOFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
330 HOPEWELL SPUR RD, LIBERTY, KY 42539-6581
(606) 235-0466
Mailing address
PO BOX 883, LIBERTY, KY 42539-0883
(606) 235-0466
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171797
KY
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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