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1194217612
MICHAEL DAVID SHACKLETTE
SCOTTSVILLE, KY
NPI
1194217612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-05-31
Last Update Date
2023-11-14
Business Address
MICHAEL DAVID SHACKLETTE LPCC
512 VETERANS MEMORIAL HWY
SCOTTSVILLE, KY 42164-8443
Phone number: 270-901-5000
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Mailing Address
MICHAEL DAVID SHACKLETTE LPCC
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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