Individual
DR. JODY ANN GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 LONE OAK RD, PADUCAH, KY 42001-4442
(270) 562-5112
Mailing address
754 SHELBY RD, KEVIL, KY 42053-8929
(270) 562-5112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1281
KY
101YP2500X
Professional Counselor
Primary
1281
KY
103TA0700X
Adult Development & Aging Psychologist
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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