Individual provider · Type 1 NPI

Shapell Pegram

Addiction (Substance Use Disorder) Counselor · Louisville, KY

NPI number 1225895428 Active

Practice location

3934 Dixie Hwy Ste 330
Louisville, KY 40216-4170

Call (502) 409-4357 Map

Other practice locations

  • 3934 Dixie Hwy Ste 325, Louisville, KY 40216-4163 · (502) 409-4357

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225895428

Shapell Pegram's National Provider Identifier is 1225895428, issued on Mar 4, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Mar 8, 2024.