Individual
JENNIFER DENISE ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 GREENUP AVE, ASHLAND, KY 41101-7525
(606) 393-1165
Mailing address
110 MAPLE AVE, WURTLAND, KY 41144-1433
(606) 922-7246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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