Individual
JACOB D DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
647 W HIGHWAY 80 STE 1, SOMERSET, KY 42503-2897
(606) 802-2880
(606) 802-2888
Mailing address
1541 SAND SPRINGS RD, MOUNT VERNON, KY 40456-9060
(606) 392-9929
(606) 802-2888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
286980
KY
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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