| Jessica Duval, Lcsw, Lcadc Llc | |
|
2229 Santa Anita Dr Lexington KY 40516-9649 | |
| (859) 619-4591 | |
| Not Available |
| Full Name | Jessica Duval, Lcsw, Lcadc Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2229 Santa Anita Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Jessica Elizabeth Duval (THERAPIST) |
| Authorized Official Contact | 8596194591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Duval, Lcsw, Lcadc Llc 2229 Santa Anita Dr Lexington KY 40516-9649 Ph: (859) 619-4591 | Jessica Duval, Lcsw, Lcadc Llc 2229 Santa Anita Dr Lexington KY 40516-9649 Ph: (859) 619-4591 |
| NPI Number | 1699411660 |
|---|---|
| Provider Enumeration Date | 05/11/2022 |
| Last Update Date | 05/11/2022 |
| Certification Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699411660 | NPI | - | NPPES |
| 7100532740 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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