Individual
JESSICA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
2025 CORPORATE DR STE 3, RICHMOND, KY 40475-6535
(859) 248-6508
Mailing address
2293 MARKET GARDEN LN, LEXINGTON, KY 40509-8525
(859) 351-9181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
299992
KY
101YM0800X
Mental Health Counselor
299654
KY
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
05/05/2026
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