Individual
MISS JESSICA MARIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
2901 PIGEON ROOST RD, RUSH, KY 41168-8132
(606) 928-6648
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
173244
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
173244
KY
Other
Enumeration date
11/16/2015
Last updated
04/06/2021
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