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Kevin Blake Jump
Mental Health Counselor in Richmond, Kentucky
NPI 1568107654

Kevin Blake Jump is a Mental Health Counselor based in Richmond, KY and is specialized in Mental Health. Kevin Blake Jump practices in Richmond, KY. The NPI Number for Kevin Blake Jump is 1568107654 and holds a License No. (Kentucky).

The current practice location address for Kevin Blake Jump is 411 Gibson Ln, Richmond, KY and can be reached out via phone at 859-626-5030 and via fax at 859-626-8020.

Location: 411 Gibson Ln, Richmond, KY, 40475-2577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568107654
Provider Name
Kevin Blake Jump
Credential
Provider Entity Type
Individual
Gender
Male
Address
411 Gibson Ln, Richmond, KY, 40475-2577
Phone Number
859-626-5030
Fax Number
859-626-8020
Provider Enumeration Date
05/03/2022
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1790731081 05 KY
institution
Provider Business Practice Location Address Details
Address
411 Gibson Ln
City
Richmond
State
Kentucky
Zip
40475-2577
Phone Number
859-626-5030
Fax Number
859-626-8020
person
Provider Business Mailing Address Details
Address
411 Gibson Ln
City
Richmond
State
Kentucky
Zip
40475-2577
Phone Number
859-626-5030
Fax Number
859-626-8020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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