Individual
JESSICA ELIZABETH DUVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Contact information
Practice address
3107 CINCINNATI RD, GEORGETOWN, KY 40324-9505
(502) 570-9313
Mailing address
1718 ALEXANDRIA DR STE 225, LEXINGTON, KY 40504-3144
(859) 619-4591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
164426
KY
1041C0700X
Clinical Social Worker
Primary
254546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100532740
—
KY
Enumeration date
02/22/2018
Last updated
11/09/2020
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