Individual
JESSICA COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 DARBY CREEK RD, SUITE 11, LEXINGTON, KY 40509-1604
(859) 338-0466
(859) 294-0802
Mailing address
501 DARBY CREEK RD, SUITE 11, LEXINGTON, KY 40509-1604
(859) 338-0466
(859) 294-0802
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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