Individual
JESSICA COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
1106 TUNNEL HILL ROAD, SUITE 100, ELIZABETHTOWN, KY 42701
(270) 765-2335
Mailing address
6158 VALLEY CREEK RD, ELIZABETHTOWN, KY 42701-6633
(270) 801-4514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
240346
KY
Other
Enumeration date
04/16/2014
Last updated
06/07/2022
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