Individual
IAN JAY MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(812) 818-2518
Mailing address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(812) 818-2518
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
301310
KY
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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