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1942783436
ADDIS LEE SHEPHERD
ELIZABETHTOWN, KY
NPI
1942783436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 275079)
Enumeration Date
2018-09-11
Last Update Date
2024-01-08
Business Address
Mr. ADDIS LEE SHEPHERD Therapist
THE COMMITMENT HOUSE 115 PARKWAY DRIVE
ELIZABETHTOWN, KY 42701-7827
Phone number: 270-900-0373
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Mailing Address
Mr. ADDIS LEE SHEPHERD Therapist
902 WINCHESTER BLVD
ELIZABETHTOWN, KY 42701-9167
Phone number: 270-325-1027
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