Organization
JACQUELYN BAINBRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN BAINBRIDGE (LPCC)
(502) 445-8376
Entity
Organization
Contact information
Practice address
30 PORTAGE PL, JEFFERSONVILLE, IN 47130-5782
(502) 445-8376
Mailing address
30 PORTAGE PL, JEFFERSONVILLE, IN 47130-5782
(502) 445-8376
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCPCC00223151
KY
Other
Enumeration date
06/18/2014
Last updated
11/18/2015
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