Individual
JESSICA VENTURA CANIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
161 PROSPEROUS PL, LEXINGTON, KY 40509-1898
(859) 214-7440
Mailing address
161 PROSPEROUS PL STE 100, LEXINGTON, KY 40509-1898
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
281703
KY
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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