Individual
JEFFREY MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
237 E 6TH ST, RUSSELLVILLE, KY 42276-1917
(270) 901-5000
(270) 842-5268
Mailing address
380 SUWANNEE TRAIL ST, BOWLING GREEN, KY 42103-7956
(270) 901-5000
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
162576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100350440
—
KY
Enumeration date
06/02/2015
Last updated
12/18/2017
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