Individual
JESSICA MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
270599
KY
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100747830
—
KY
Enumeration date
12/16/2015
Last updated
06/01/2022
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