Individual
JESSICA L BONDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
980 TEMPLIN AVENUE, BARDSTOWN, KY 40004-2508
(844) 435-0900
(279) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253935
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15177844
CAQH
—
05
—
7100753300
—
KY
Enumeration date
06/28/2021
Last updated
01/14/2025
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