Individual
SHELLEY DEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1106 TUNNEL HILL ROAD, SUITE 100, ELIZABETHTOWN, KY 42701-1837
(270) 765-2335
(270) 765-2557
Mailing address
1106 TUNNEL HILL ROAD, SUITE 100, ELIZABETHTOWN, KY 42701-1837
(270) 765-2335
(270) 765-2557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105656
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11574911
CAQH
—
05
—
7100265840
—
KY
Enumeration date
05/22/2006
Last updated
12/19/2023
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