Individual
JESSICA L NUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 S BUCKMAN ST, SHEPHERDSVILLE, KY 40165
(502) 377-4153
Mailing address
345 S BUCKMAN ST, SHEPHERDSVILLE, KY 40165-6060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
260179
KY
Other
Enumeration date
02/10/2015
Last updated
09/27/2019
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