Shannon Nichols

NPI #1922324417 in Owingsville, Kentucky

Provider Information

NPI Number: 1922324417
Entity Type: Individual
Name: Shannon Nichols
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Apr 9, 2010
Last Updated: Apr 9, 2010

Practice Location

Address: 664 SLATE AVE
City: Owingsville
State: Kentucky
ZIP Code: 40360
Phone: (606) 674-6690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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