Individual
MRS. JACKIE F NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1830 DESTINY LN STE 107, BOWLING GREEN, KY 42104-1088
(270) 302-4851
Mailing address
1830 DESTINY LN STE 107, BOWLING GREEN, KY 42104-1088
(270) 302-4851
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00225634
KY
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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