Individual
JENNIFER LYNE FADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
346 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 230-1777
(270) 679-0838
Mailing address
346 S MAIN ST, LEITCHFIELD, KY 42754-1428
(270) 230-1777
(270) 679-0838
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
252898
KY
1041C0700X
Clinical Social Worker
7214
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100335350
—
KY
Enumeration date
03/17/2015
Last updated
04/08/2026
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