Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon Kristian Gray

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1568182608

Shannon Kristian Gray is an Addiction (Substance Use Disorder) Counselor in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

125 S Main Cross St
Louisa, KY 41230-1065
Phone: (606) 638-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 118386 (KY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1568182608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

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