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Individual

SAVANNAH JO CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
505 WEST UNION ST, MUNFORDVILLE, KY 42765-8909
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
172500
KY
101YP2500X
Professional Counselor
Primary
288209
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
172500
KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY
Enumeration date
03/20/2018
Last updated
09/05/2024
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