Individual
JESSICA LYNNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPCA
Contact information
Practice address
628 JEFFERSON AVE, PAINTSVILLE, KY 41240-1471
(606) 789-6966
Mailing address
628 JEFFERSON AVE, PAINTSVILLE, KY 41240-1471
(606) 205-7849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
288551
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/01/2022
Last updated
06/21/2024
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