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Individual

JAYLEE CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
169 E REYNOLDS RD STE 101, LEXINGTON, KY 40517-1270
(859) 279-2949
(502) 323-0749
Mailing address
169 E REYNOLDS RD STE 100A, LEXINGTON, KY 40517-1272
(859) 279-2949
(502) 323-0749

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
273964
KY
106H00000X
Marriage & Family Therapist
Primary
273964
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457827826
NPI- TYPE 1
Enumeration date
10/23/2018
Last updated
01/22/2024
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