Individual
JANE DURKIN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
620 EUCLID AVE STE 203, LEXINGTON, KY 40502-6429
(859) 687-6969
Mailing address
3283 RIDGECANE RD, LEXINGTON, KY 40513-1123
(859) 230-0856
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
284119
KY
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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