Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 13423 | FL |
Y | 101YP1600X | Pastoral Counselor | 13423 | FL |
NPI | 1104157528 |
---|---|
Provider Name | Shelia Ann Kensinger |
First Address | Louisa, KY 41230-1347 |
Second Address | Louisa, KY 41230-1347 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2010 |
Last Update Date | 25/01/2010 |