Individual
JENNIFER LEIGH QUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4969
(270) 890-1780
Mailing address
PO BOX 614, HOPKINSVILLE, KY 42241-0614
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/14/2021
Last updated
03/01/2024
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