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Individual

JESSICA NICOLE DOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, LPA

Contact information

Practice address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 338-0608
(502) 245-1888
Mailing address
11824 RANSUM DR, LOUISVILLE, KY 40243-2802
(502) 338-0608
(502) 245-1888

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
260060
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260060
KENTUCKY
KY
Enumeration date
10/21/2019
Last updated
10/21/2019
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