Duval, Jessica Elizabeth

Duval, Jessica Elizabeth is an individual health care provider with primary practice located at 3107 Cincinnati Rd , Georgetown KY 40324-9505. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Duval, Jessica Elizabeth can be contacted via phone (502) 570-9313.

Contact Information

Primary practice address
3107 Cincinnati Rd Georgetown KY 40324-9505
Phone: (502) 570-9313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 164426 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 254546 Kentucky

Profile Details

NPI number 1295236537
LBN Legal business name Duval, Jessica Elizabeth
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2018
Last updated Nov 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295236537 NPPES
Kentucky MEDICAID 7100532740

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