Individual
MS. TONYA ERIN JERNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2507
Mailing address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2507
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4090
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100370990
—
KY
Enumeration date
12/08/2011
Last updated
09/25/2020
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