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Individual

JACQUELINE MICHELLE HISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
217 SKAGGS BLVD, NICHOLASVILLE, KY 40356-8416
(859) 885-9467
(859) 885-1766
Mailing address
217 SKAGGS BLVD, NICHOLASVILLE, KY 40356-8416
(859) 885-9467
(859) 885-1766

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
260459
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
260459
KY
101YM0800X
Mental Health Counselor
260459
KY

Other

Enumeration date
12/31/2025
Last updated
12/31/2025
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