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Individual

MR. JEFFREY WESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.C.C., L.M.H.C.

Contact information

Practice address
230 2ND ST, HENDERSON, KY 42420-3172
(270) 826-8761
(270) 826-8737
Mailing address
230 2ND ST, HENDERSON, KY 42420-3172
(270) 826-8761
(270) 826-8737

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0573
KY
101YM0800X
Mental Health Counselor
39000161A
IN

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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