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Individual

JULIANNA DEJESUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 TRILOGY AVE, HOPKINSVILLE, KY 42240-5329
(270) 885-2902
(270) 886-2905
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
(270) 886-2205
(270) 886-0392

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
10/07/2019
Last updated
11/08/2023
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