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1033520747
SHANNON HAUTALA
LOUISA, KY
NPI
1033520747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-05-15
Last Update Date
2021-11-29
Business Address
SHANNON HAUTALA LPCC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
SHANNON HAUTALA LPCC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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