Individual
ANDREA JELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
204 COLONIAL DR, VERSAILLES, KY 40383-9387
(859) 576-4236
Mailing address
204 COLONIAL DR, VERSAILLES, KY 40383-9387
(859) 576-4236
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
148998
KY
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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