Individual
JENNIFER L GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 MANCHESTER SHOPPING CTR, MANCHESTER, KY 40962-1401
(606) 596-0410
(606) 596-0416
Mailing address
1019 CUMBERLAND FALLS HWY, SUITE B201, CORBIN, KY 40701-2735
(606) 526-9005
(606) 526-8606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
168999
KY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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