Individual
JESSICCA N CRANMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPCC
Contact information
Practice address
100 GRAY ST, ELIZABETHTOWN, KY 42701-2608
(270) 360-4719
Mailing address
387 PARK AVE, RADCLIFF, KY 40160-1367
(270) 801-7233
(270) 352-3467
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1884
KY
101YP2500X
Professional Counselor
Primary
252408
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
10/29/2013
Last updated
12/23/2020
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