Organization
JESSICA DUVAL, LCSW, LCADC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ELIZABETH DUVAL LCSW, LCADC (THERAPIST)
(859) 619-4591
Entity
Organization
Contact information
Practice address
2229 SANTA ANITA DR, LEXINGTON, KY 40516-9649
(859) 619-4591
Mailing address
2229 SANTA ANITA DR, LEXINGTON, KY 40516-9649
(859) 619-4591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100532740
—
KY
Enumeration date
05/11/2022
Last updated
05/11/2022
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