Individual
JIMMY AUSBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC -S
Contact information
Practice address
3581 HARRODSBURG RD STE 350, LEXINGTON, KY 40513-1140
(859) 313-6333
(859) 313-3484
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(859) 313-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
246330
KY
101YM0800X
Mental Health Counselor
Primary
268963
KY
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100797650
—
KY
Enumeration date
10/19/2017
Last updated
04/03/2025
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