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Individual

JESSICA LECORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
1911 BARDSTOWN RD, LOUISVILLE, KY 40205-1552
(812) 786-3512
Mailing address
5204 MATTERHORN CT, LOUISVILLE, KY 40216-1870

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
274128
KY

Other

Enumeration date
11/20/2021
Last updated
11/20/2021
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