Individual
JENNIFER EICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N BROADWAY ST STE 1, BEREA, KY 40403-2212
(859) 248-4101
Mailing address
344 KEITH DR, BEREA, KY 40403-8892
(859) 248-4101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
168187
KY
101YP2500X
Professional Counselor
168187
KY
Other
Enumeration date
01/16/2014
Last updated
12/04/2023
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