person
Ivan T Jines, LPCC
Professional Counselor in Glasgow, Kentucky
NPI 1558739474

Ivan T Jines is a Professional Counselor based in Burkesville, KY and is specialized in Professional. Ivan T Jines practices in Glasgow, KY and has the professional credentials of LPCC. The NPI Number for Ivan T Jines is 1558739474 and holds a License No. 247523 (Kentucky).

The current practice location address for Ivan T Jines is 507 Trojan Trl, Glasgow, KY and can be reached out via phone at 844-435-0900 and via fax at 270-858-4029.

Location: 507 Trojan Trl, Glasgow, KY, 42717-1080
person
Provider Profile Details
NPI Number
1558739474
Provider Name
Ivan T Jines
Credential
LPCC
Provider Entity Type
Individual
Gender
Male
Address
507 Trojan Trl, Glasgow, KY, 42717-1080
Phone Number
844-435-0900
Fax Number
270-858-4029
Provider Enumeration Date
09/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14407125 01 CAQH
7100587150 05 KY
institution
Provider Business Practice Location Address Details
Address
507 Trojan Trl
City
State
Zip
42141-2214
Phone Number
844-435-0900
Fax Number
270-858-4029
person
Provider Business Mailing Address Details
Address
507 Trojan Trl
City
State
Zip
42141-2214
Phone Number
844-435-0900
Fax Number
270-858-4029
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
247523 (Kentucky)
Definition
Definition to come...
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