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Individual

JENNIFER WOOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
2121 TYLER LN, LOUISVILLE, KY 40205-2923
(502) 797-3775
Mailing address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
(502) 633-1315

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1271
KY
101YP2500X
Professional Counselor
Primary
1661
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100334590
KY
Enumeration date
07/31/2009
Last updated
02/24/2016
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