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Individual

MRS. JESSICA ANN ELAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, LPCA

Contact information

Practice address
4223 MEREDITH BR, ROYALTON, KY 41464-8338
(606) 792-9042
Mailing address
4223 MEREDITH BR, ROYALTON, KY 41464-8338
(606) 792-9042

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
172575
KY

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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