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Mr. Addis Lee Shepherd, THERAPIST
Mental Health Counselor in Elizabethtown, Kentucky
NPI 1942783436

Addis Lee Shepherd is a Mental Health Counselor based in Elizabethtown, KY and is specialized in Mental Health. Addis Lee Shepherd practices in Elizabethtown, KY and has the professional credentials of THERAPIST. The NPI Number for Addis Lee Shepherd is 1942783436 and holds a License No. 275079 (Kentucky).

The current practice location address for Addis Lee Shepherd is The Commitment House, Elizabethtown, KY and can be reached out via phone at 270-900-0373. You can also correspond with Addis Lee Shepherd through the mailing address at 902 WINCHESTER BLVD, ELIZABETHTOWN, KY - 42701-9167 (mailing address contact number: 270-325-1027).

Location: The Commitment House, Elizabethtown, KY, 42701-9167
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Provider Profile Details
NPI Number
1942783436
Provider Name
Addis Lee Shepherd
Credential
THERAPIST
Provider Entity Type
Individual
Gender
Male
Address
The Commitment House, Elizabethtown, KY, 42701-9167
Phone Number
270-900-0373
Fax Number
Provider Enumeration Date
09/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 05 KY
institution
Provider Business Practice Location Address Details
Address
The Commitment House
City
State
Zip
42701-7827
Phone Number
270-900-0373
Fax Number
person
Provider Business Mailing Address Details
Address
The Commitment House
City
State
Zip
42701-7827
Phone Number
270-900-0373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
275079 (Kentucky)
Definition
Definition to come...
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