Individual
MR. TONY S JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
16 INGRAM AVENUE, CAMPBELLSVILLE, KY 42718-1621
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
105388
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13831487
CAQH
KY
05
—
7100403130
—
KY
Enumeration date
05/12/2016
Last updated
08/11/2025
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