Individual
JUSTIN AMOND LINCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 BLANKENBAKER PKWY, MIDDLETOWN, KY 40243-1881
(229) 789-8880
Mailing address
5407 WINTERGREEN RD, LOUISVILLE, KY 40272-3413
(229) 789-8880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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