| Jacquelyn Bainbridge | |
|
30 Portage Pl Jeffersonville IN 47130-5782 | |
| (502) 445-8376 | |
| Not Available |
| Full Name | Jacquelyn Bainbridge |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 Portage Pl, Jeffersonville, Indiana |
| Authorized Official Name and Position | Jacquelyn Bainbridge (LPCC) |
| Authorized Official Contact | 5024458376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Bainbridge 30 Portage Pl Jeffersonville IN 47130-5782 Ph: (502) 445-8376 | Jacquelyn Bainbridge 30 Portage Pl Jeffersonville IN 47130-5782 Ph: (502) 445-8376 |
| NPI Number | 1821402843 |
|---|---|
| Provider Enumeration Date | 06/18/2014 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821402843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPCPCC00223151 (Kentucky) | Primary |
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