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Individual

JESSICA BROOKE CASTLEBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
CHRYSALIS HOUSE, INC., 1589 HILL RISE DRIVE, LEXINGTON, KY 40504
(859) 255-0500
Mailing address
3521 GERMANN CT, LEXINGTON, KY 40503-6314

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
172036
KY

Other

Enumeration date
07/09/2019
Last updated
05/19/2020
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