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NPI 1295387819

NPI 1295387819 : JENNIFER COOLEY LPCC : FRANKFORT, KY

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General NPI Number Information
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    NPI Number           |    1295387819
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER COOLEY LPCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/13/2019
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    PO BOX 1360 
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    City                 |    FRANKFORT
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    State                |    KY
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    Zip                  |    40602-1360
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    Country              |    US
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    Telephone            |    502-782-8803
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2555 E WOOD ST 
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    City                 |    PARIS
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    State                |    TN
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    Zip                  |    38242-7990
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    4632
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    293394
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    License Number State |    KY
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