Individual
MS. REGINA DENICE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
4010 DUPONT CIR, SUITE 379, LOUISVILLE, KY 40207-4812
(502) 741-2336
(502) 813-8281
Mailing address
4010 DUPONT CIR, SUITE 379, LOUISVILLE, KY 40207-4812
(502) 741-2336
(502) 813-8281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7264
KY
1041C0700X
Clinical Social Worker
7264
KY
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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