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Individual

JENNIFER J BLAIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPCA

Contact information

Practice address
861 CORPORATE DR, STE. 101, LEXINGTON, KY 40503-5432
(859) 971-2585
(859) 971-7594
Mailing address
861 CORPORATE DR, STE. 101, LEXINGTON, KY 40503-5432
(859) 971-2585
(859) 971-7594

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
166707
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
10/05/2015
Last updated
01/23/2017
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