Individual
MS. JENNECA DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 MILLGATE RD, LOUISVILLE, KY 40223-1046
(502) 498-0848
Mailing address
1821 MILLGATE RD, LOUISVILLE, KY 40223-1046
(502) 498-0848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
258292
KY
1041C0700X
Clinical Social Worker
Primary
LCSW00001435
KY
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/23/2021
Last updated
04/03/2026
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