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Individual

MRS. MARY PATRICIA JARNAGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
3150 CUSTER DR STE 203, LEXINGTON, KY 40517-4010
(859) 227-9266
(502) 406-5803
Mailing address
3150 CUSTER DR STE 203, LEXINGTON, KY 40517-4010
(859) 227-9266
(502) 406-5803

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1120
KY
106H00000X
Marriage & Family Therapist
Primary
0738
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100278580
KY
Enumeration date
07/16/2010
Last updated
10/16/2023
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