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Individual

JANE PROUTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, LPCC, CADC

Contact information

Practice address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 763-0728
(270) 763-0618
Mailing address
110 VILLAGE DR, ELIZABETHTOWN, KY 42701-2423
(270) 763-0728
(270) 763-0618

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166848
KY
101YP2500X
Professional Counselor
Primary
105803
KY
106H00000X
Marriage & Family Therapist
106480
KY

Other

Enumeration date
12/04/2009
Last updated
07/20/2016
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