Individual
JENNIFER MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 DOLPHIN RD, LOUISVILLE, KY 40220-3501
(502) 396-9662
Mailing address
4203 DOLPHIN RD, LOUISVILLE, KY 40220-3501
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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