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Individual

LINDA EVELYN FENTRESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPCC

Contact information

Practice address
651 PERIMETER DR STE 115, LEXINGTON, KY 40517-4351
(859) 721-3259
(859) 305-5083
Mailing address
651 PERIMETER DR STE 115, LEXINGTON, KY 40517-4351
(573) 355-0301
(859) 305-5083

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
168174
KY
101YP2500X
Professional Counselor
2013014933
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100409410
KY
Enumeration date
03/06/2015
Last updated
04/04/2022
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