Individual
JESSICA L STUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1212 ASHLEY CIR STE 3, BOWLING GREEN, KY 42104-5821
(270) 864-6872
Mailing address
443 SAINT PAUL AVE, BOWLING GREEN, KY 42101-6586
(270) 799-7247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253877
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30604011
—
KY
Enumeration date
06/10/2016
Last updated
02/23/2022
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