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General NPI Number Information
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NPI Number | 1710027032
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Entity Type | Individual
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Provider Name | MONICA E SHOTZBARGER LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 250 ALPINE DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8880
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Country | US
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Telephone | 859-254-1035
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Fax | 859-254-2075
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Provider Business Mailing Address
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Address Line | 10401 LINN STATION RD STE 100
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City | LOUISVILLE
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State | KY
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Zip | 40223-3842
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Country | US
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Telephone | 502-589-8600
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 289058
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License Number State | KY
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