Individual
TERRY JANELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1727 SWEENEY ST STE 102, OWENSBORO, KY 42303-3834
(270) 231-9548
Mailing address
117 E 18TH ST # 141, OWENSBORO, KY 42303-3752
(270) 313-2988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103832
KY
101YP2500X
Professional Counselor
1596
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100276810
—
KY
Enumeration date
02/04/2014
Last updated
06/10/2020
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