Individual
JENNIFER BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 RUCKRIEGEL PKWY, LOUISVILLE, KY 40299-3765
(606) 465-7261
Mailing address
2007 CHERRY CREEK RD, LA GRANGE, KY 40031-7564
(606) 465-7261
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
265915
KY
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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