Individual
MR. JOB JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC
Contact information
Practice address
4390 CLEARWATER WAY APT 409, APT 409, LEXINGTON, KY 40515-6369
(502) 295-7659
Mailing address
4390 CLEARWATER WAY APT 409, APT 409, LEXINGTON, KY 40515-6369
(502) 295-7659
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTA KY 2014-003
KY
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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