Individual
MR. JOHN MARK JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, BCD
Contact information
Practice address
213 W OHIO ST, MORGANTOWN, KY 42261-8436
(270) 526-2228
(270) 526-2218
Mailing address
PO BOX 1205, MORGANTOWN, KY 42261-1205
(270) 526-2228
(270) 526-2218
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200078700
—
KY
Enumeration date
07/07/2005
Last updated
11/14/2014
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