Individual
MRS. CHARLEY SHEA MELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
4000 N DIXIE HWY STE 6, ELIZABETHTOWN, KY 42701-4650
(270) 709-4554
Mailing address
4000 N DIXIE HWY STE 6, ELIZABETHTOWN, KY 42701-4650
(270) 709-4554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCCA00223133
KY
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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