Individual
JENNIFER LINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2138 BROADWAY ST, PADUCAH, KY 42001-7110
(270) 449-1541
Mailing address
252 N 38TH ST, PADUCAH, KY 42001-4721
(270) 449-1451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
247435
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100609740
—
KY
Enumeration date
03/21/2019
Last updated
02/24/2023
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