SHANNON HAUTALA

LOUISA, KY
NPI1033520747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-05-15
Last Update Date2021-11-29
Business Address
SHANNON HAUTALA LPCC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
SHANNON HAUTALA LPCC
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938