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Individual

JASON ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPCC, LCADC

Contact information

Practice address
417 S 4TH ST, PADUCAH, KY 42003-1504
(270) 415-5155
Mailing address
417 S 4TH ST, PADUCAH, KY 42003-1504
(270) 415-5155

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
272326
KY
101YM0800X
Mental Health Counselor
Primary
282914
KY

Other

Enumeration date
09/25/2020
Last updated
04/20/2023
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