Individual
SANDRA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 WAVELAND AVE, WINCHESTER, KY 40391-1231
(859) 385-4669
Mailing address
1801 WATERMARK DR, COLUMBUS, OH 43215-7088
(614) 438-3400
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
277873
KY
101YP2500X
Professional Counselor
Primary
307154
KY
Other
Enumeration date
05/23/2022
Last updated
04/10/2026
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