Individual
MRS. MARY KAYE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, LMFT
Contact information
Practice address
FAMILY CARE CENTER, 1425 STORY AVENUE, LOUISVILLE, KY 40206
(502) 584-1369
Mailing address
502 KINGLAN ROAD, LOUISVILLE, KY 40207-2332
(502) 891-8809
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0648
KY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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