Individual
JESSICA LYNN SPEELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
125 QUINN DR, NICHOLASVILLE, KY 40356-1370
(859) 241-3085
(877) 712-3835
Mailing address
125 QUINN DR, NICHOLASVILLE, KY 40356-1370
(859) 241-3085
(877) 712-3835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
262439
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100673010
—
KY
01
—
CS2028500102
CARESOURCE PROVIDER BILLING NUMBER
KY
Enumeration date
09/04/2015
Last updated
10/28/2020
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