Individual
JULIA M HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
620 N MULBERRY ST, ELIZABETHTOWN, KY 42701-1939
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
255546
KY
1041C0700X
Clinical Social Worker
Primary
258128
KY
Other
Enumeration date
08/16/2022
Last updated
10/02/2023
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