Individual
JACKIE DOUBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 FALCONCREST DR., SUITE A, PADUCAH, KY 42001
(270) 443-0096
(270) 443-0080
Mailing address
4625 FALCONCREST DR, SUITE A, PADUCAH, KY 42001-7458
(270) 443-0096
(270) 443-0080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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