Individual
JEANETTA GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
1079 THORNBERRY DR, D, MADISONVILLE, KY 42431-1600
(270) 874-2560
(270) 825-8081
Mailing address
1079 THORNBERRY DR, D, MADISONVILLE, KY 42431-1600
(270) 874-2560
(270) 825-8081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCCCA00222146
KY
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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