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Organization
WELLNESS PLACE LLC
Active
Organization
WELLNESS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KRISTIN JONES PSY.D. (MEMBER)
(270) 601-4235
Entity
Organization
Contact information
Practice address
68 CEDAR ST., KUTTAWA, KY 42055
(270) 601-1575
(270) 350-4673
Mailing address
PO BOX 250, KUTTAWA, KY 42055-0250
(270) 601-4235
(270) 365-4438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100299330
—
KY
Enumeration date
05/30/2012
Last updated
08/06/2019
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