Shannon Hautala's National Provider Identifier (NPI) Details
Shannon Hautala, LPCC
NPI: 1033520747
Enumeration Date: 2014-05-15
Last updated: 2021-11-29
Sole Proprietor: YES
Status: active
Postal Address: 125 S MAIN CROSS ST, LOUISA, KY
Phone: 606-638-0938
Primary Practice Address: 125 S MAIN CROSS ST, LOUISA, KY
Practice's phone: 606-638-0938