Individual
DEMI LYNN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
120 CHRYSALIS CT, LEXINGTON, KY 40508-2604
(859) 243-0972
Mailing address
1589 HILL RISE DR, LEXINGTON, KY 40504-2588
(859) 977-2501
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
166575
KY
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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