Individual
JENNIFER MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
1169 EASTERN PKWY STE 1124, LOUISVILLE, KY 40217-1462
(502) 576-6643
Mailing address
1169 EASTERN PKWY STE 1124, LOUISVILLE, KY 40217-1462
(502) 576-6643
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1220448
KY
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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