Individual
JASON STAATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
3050 RIO DOSA DR, LEXINGTON, KY 40509-1540
(859) 268-6422
(859) 268-6473
Mailing address
3050 RIO DOSA DR, LEXINGTON, KY 40509-1540
(859) 268-6422
(859) 268-6473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1094
KY
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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