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NPI Code Detail

MEDICARE: JESSICA TEMPLETON RBT

MEDICARE: JESSICA TEMPLETON RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1538845300
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA TEMPLETON RBT
Provider Business Mailing Address
First Line : 516 10TH ST
Second Line :
City : CATLETTSBURG
State : KY
Zip : 41129-1409
Country : US
Telephone Number : 740-442-5449
Fax Number :
Provider Business Practice Location Address
First Line : 137 8TH AVE W
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-2510
Country : US
Telephone Number : 304-408-3253
Fax Number : 304-756-8230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2023
Last Update Date : 05/05/2026

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