Individual
MRS. JETONA K MILBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
104 E MAIN ST STE 99, HODGENVILLE, KY 42748-1334
(270) 358-6131
(270) 358-6582
Mailing address
104 E MAIN ST STE 99, HODGENVILLE, KY 42748-1334
(270) 358-6131
(270) 358-6582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
0799
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100464060
—
KY
Enumeration date
08/21/2008
Last updated
09/04/2019
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