Individual
MR. JAY SHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
2720 FREDERICA ST, OWENSBORO, KY 42301-5442
(270) 926-2484
Mailing address
PO BOX 1429, MT WASHINGTON, KY 40047-1429
(877) 992-5242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1062N
KY
Other
Enumeration date
08/24/2006
Last updated
04/09/2013
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