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Jason R Smallwood, LPCA
Professional Counselor in Mount Sterling, Kentucky
NPI 1457491334

Jason R Smallwood is a Professional Counselor based in Ashland, KY and is specialized in Professional. Jason R Smallwood practices in Mount Sterling, KY and has the professional credentials of LPCA. The NPI Number for Jason R Smallwood is 1457491334 and holds a License No. 103119 (Kentucky).

The current practice location address for Jason R Smallwood is 300 Foxglove Dr, Mount Sterling, KY and can be reached out via phone at 866-233-1955.

Location: 300 Foxglove Dr, Mount Sterling, KY, 41105-0790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457491334
Provider Name
Jason R Smallwood
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
300 Foxglove Dr, Mount Sterling, KY, 41105-0790
Phone Number
866-233-1955
Fax Number
Provider Enumeration Date
02/08/2007
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30615058 05 KY
institution
Provider Business Practice Location Address Details
Address
300 Foxglove Dr
City
Mount Sterling
State
Kentucky
Zip
40353-9769
Phone Number
866-233-1955
Fax Number
person
Provider Business Mailing Address Details
Address
300 Foxglove Dr
City
Mount Sterling
State
Kentucky
Zip
40353-9769
Phone Number
866-233-1955
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
103119 (Kentucky)
Definition
Definition to come...
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