Individual
JEANIE MARIE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 RING RD, ELIZABETHTOWN, KY 42701-9454
(270) 506-2730
(270) 900-0704
Mailing address
320 MAPLE DR, ELIZABETHTOWN, KY 42701-9573
(360) 481-0270
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
260916
KY
101YM0800X
Mental Health Counselor
LH60888116
WA
101YM0800X
Mental Health Counselor
MG60753924
WA
101YP2500X
Professional Counselor
Primary
260916
KY
Other
Enumeration date
01/03/2017
Last updated
04/09/2025
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