Individual
DR. JILLIAN MARIE ATHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., LPCC-S
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103423
KY
101YP2500X
Professional Counselor
Primary
E2001897
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103423
KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS
KY
Enumeration date
11/19/2019
Last updated
10/15/2020
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