Individual
JESSICA THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
1315 W MAIN ST, LEXINGTON, KY 40508-2008
(859) 940-2292
Mailing address
1611 ATLANTA DR, LEXINGTON, KY 40505-2505
(859) 940-2292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
173528
KY
101YM0800X
Mental Health Counselor
173528
KY
101YP2500X
Professional Counselor
Primary
173528
KY
Other
Enumeration date
01/31/2017
Last updated
08/31/2017
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