# JESSICA DUVAL, LCSW, LCADC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699411660
- **Authorized official:** JESSICA ELIZABETH DUVAL LCSW, LCADC (THERAPIST)
- **Authorized official phone:** (859) 619-4591

## Contact information

- **Practice address:** 2229 SANTA ANITA DR, LEXINGTON, KY 40516-9649
- **Practice address phone:** (859) 619-4591
- **Mailing address:** 2229 SANTA ANITA DR, LEXINGTON, KY 40516-9649
- **Mailing address phone:** (859) 619-4591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 05/11/2022