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Individual

JONATHAN DARRELL COTTRELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
1105 JULIANNA CT STE 1, ELIZABETHTOWN, KY 42701-7937
(270) 769-3714
Mailing address
1119 BURNS RD, RADCLIFF, KY 40160-9307
(316) 494-2258

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
305316
KY

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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