Individual
JASON AMYX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
858 5TH AVE SE, CALVERT CITY, KY 42029
(270) 559-8247
Mailing address
956 FAIRVIEW ST, BENTON, KY 42025-7360
(270) 559-8247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
245735
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
245735
PROFESSIONAL LICENSE
KY
Enumeration date
08/27/2020
Last updated
12/04/2025
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