Individual
MR. MICHAEL BILLY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPCA
Contact information
Practice address
103 MAIN ST, MUNFORDVILLE, KY 42765-9083
(270) 696-3181
Mailing address
103 MAIN ST, MUNFORDVILLE, KY 42765-9083
(270) 696-3181
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
242805
KY
Other
Enumeration date
02/03/2016
Last updated
11/14/2018
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