Individual
MRS. JEANNIE MARIE CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
17 US HIGHWAY 68 W, BENTON, KY 42025
(270) 349-1722
(270) 215-1224
Mailing address
17 US HIGHWAY 68 W, BENTON, KY 42025-7002
(270) 349-1722
(270) 215-1224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
165329
KY
101YP2500X
Professional Counselor
1804
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100407109
—
KY
Enumeration date
09/15/2014
Last updated
08/16/2018
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