Individual
JENNIFER MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
259 PARKERS MILL RD, SOMERSET, KY 42501-3152
(606) 679-7348
Mailing address
130 SOUTHERN SCHOOL RD, SOMERSET, KY 42501-3223
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
KY
Other
Enumeration date
04/03/2012
Last updated
04/16/2014
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