Individual
MRS. JENNIFER ELIZABETH LAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
934 S LAUREL RD STE 2, LONDON, KY 40744-6314
(606) 657-2030
Mailing address
330 ASA FLAT RD, ANNVILLE, KY 40402-9036
(606) 731-8917
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
287614
KY
101Y00000X
Counselor
—
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
287614
KY
101YM0800X
Mental Health Counselor
287614
—
Other
Enumeration date
09/11/2023
Last updated
03/13/2026
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