person
Michael David Shacklette, LPCC
Professional Counselor in Scottsville, Kentucky
NPI 1194217612

Michael David Shacklette is a Professional Counselor based in Bowling Green, KY and is specialized in Professional. Michael David Shacklette practices in Scottsville, KY and has the professional credentials of LPCC. The NPI Number for Michael David Shacklette is 1194217612 and holds a License No. (Kentucky).

The current practice location address for Michael David Shacklette is 512 Veterans Memorial Hwy, Scottsville, KY and can be reached out via phone at 270-901-5000. You can also correspond with Michael David Shacklette through the mailing address at 380 SUWANNEE TRAIL ST, BOWLING GREEN, KY - 42103-7956 (mailing address contact number: 270-901-5000).

Location: 512 Veterans Memorial Hwy, Scottsville, KY, 42103-7956
person
Provider Profile Details
NPI Number
1194217612
Provider Name
Michael David Shacklette
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
512 Veterans Memorial Hwy, Scottsville, KY, 42103-7956
Phone Number
270-901-5000
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100878810 05 KY
institution
Provider Business Practice Location Address Details
Address
512 Veterans Memorial Hwy
City
State
Zip
42164-8443
Phone Number
270-901-5000
Fax Number
person
Provider Business Mailing Address Details
Address
512 Veterans Memorial Hwy
City
State
Zip
42164-8443
Phone Number
270-901-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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