| Shannon Nichols, | |
|
664 Slate Ave, Owingsville, KY 40360 | |
| (606) 674-6690 | |
| (606) 674-6903 |
| Full Name | Shannon Nichols |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 664 Slate Ave, Owingsville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922324417 | NPI | - | NPPES |
| 30610026 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Nichols, Po Box 790, Ashland, KY 41105-0790 Ph: (606) 329-8588 | Shannon Nichols, 664 Slate Ave, Owingsville, KY 40360 Ph: (606) 674-6690 |
Amy Piercy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Anthony Wayne Deveraux, P.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Avenue, Owingsville, KY 40360 Phone: 606-674-6690 Fax: 606-674-6903 | |
Kayla Semones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-329-8588 Fax: 606-329-8195 | |
Hollie M Rasche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40371 Phone: 606-674-6690 Fax: 606-674-6903 | |
Kasey Denton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6690 | |
Emily Larson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-674-6903 | |
Diana Thornberry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 664 Slate Ave, Owingsville, KY 40360 Phone: 606-233-1955 |