Individual
JENNIFER WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
120 QUINTON CT STE 100, LEXINGTON, KY 40509-1321
(859) 940-7389
Mailing address
120 QUINTON CT STE 100, LEXINGTON, KY 40509-1321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168416
KY
104100000X
Social Worker
6999
KY
1041C0700X
Clinical Social Worker
Primary
252363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
07/09/2014
Last updated
07/08/2019
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