Individual
KENNETH LEE JEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1712 HIGHWAY 121 BYP N STE 1, MURRAY, KY 42071-8864
(270) 761-5804
(270) 761-5807
Mailing address
1511 LONDON DR, MURRAY, KY 42071-3224
(270) 562-0553
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
174801
KY
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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