Individual
JESSICA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA, NCC
Contact information
Practice address
114 E MAIN ST, RICHMOND, KY 40475-1986
(606) 404-2966
Mailing address
605 SMUGGLERS NOTCH DR, LEXINGTON, KY 40509-4394
(606) 272-4902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
270481
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
03/13/2018
Last updated
07/23/2021
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