Individual
JENNIFER M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
931 E MAIN STREET, CECILIA, KY 42724-9624
(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
248554
KY
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14931883
CAQH
KY
05
—
7100922950
—
KY
Enumeration date
01/03/2014
Last updated
06/10/2025
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