Individual
MS. JESSICA N SUCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2425
(859) 721-3918
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5707
—
1041C0700X
Clinical Social Worker
Primary
3860
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100285660
—
KY
Enumeration date
02/04/2010
Last updated
05/23/2019
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