Individual
MRS. JENNIFER S O'LOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9700 PARK PLAZA AVE UNIT 105, LOUISVILLE, KY 40241-2286
(502) 802-1691
(502) 426-4902
Mailing address
9700 PARK PLAZA AVE UNIT 105, LOUISVILLE, KY 40241-2286
(502) 802-1691
(502) 426-4902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1387
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610444704
TAX ID
KY
Enumeration date
09/21/2006
Last updated
12/29/2019
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