Shannon Charles, BA
NPI #1164601886 in Prestonsburg, Kentucky
Provider Information
- NPI Number
- 1164601886
- Entity Type
- Individual
- Name
- Shannon Charles, BA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Day Training/Habilitation Specialist
- Credential
- BA
- Enumeration Date
- Oct 30, 2007
- Last Updated
- Oct 30, 2007
Practice Location
- Address
- 40 GREENHOUSE LN
- Address 2
- RT 321 AUXIER ROAD
- City
- Prestonsburg
- State
- Kentucky
- ZIP Code
- 41653-9180
- Phone
- (606) 886-6815
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training/Habilitation Specialist |
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