Individual
JESSICA R FROEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
302 BRUMMAL AVENUE, GREENSBURG, KY 42743-1004
(844) 435-0900
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 250-2422
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
284710
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15913106
CAQH
—
Enumeration date
07/07/2015
Last updated
05/12/2023
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