Individual
MRS. KACEY LUSK JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LMFTA
Contact information
Practice address
1711 ASHLEY CIR, SUITE 2, BOWLING GREEN, KY 42104-5801
(270) 935-5125
(270) 846-4887
Mailing address
1711 ASHLEY CIR, SUITE 2, BOWLING GREEN, KY 42104-5801
(270) 935-5125
(270) 846-4887
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MFTMFT00218369
KY
Other
Enumeration date
05/09/2011
Last updated
04/29/2015
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