Individual
JESSICA BROOK CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.A.
Contact information
Practice address
308 S WASHINGTON ST STE 200, CLINTON, KY 42031-1347
(270) 913-2478
(270) 913-2479
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
164504
KY
Other
Enumeration date
05/19/2016
Last updated
01/21/2026
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