Individual provider · Type 1 NPI

Jennifer Wilz Mahaney, LPCC-S

Professional Counselor · Covington, KY

NPI number 1639429335 Active

Practice location

1401 Madison Ave
Covington, KY 41011-3313

Call (859) 655-6100 Map

Fax (859) 655-6179

Mailing address

215 E 11th St
Newport, KY 41071-2203

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X1438 (KY)
Professional Counselor 101YP2500XE.0004240-SUPV (OH)
Professional Counselor Primary 101YP2500X103061 (KY)

Professional Counselor: Definition to come...

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About NPI 1639429335

Jennifer Wilz Mahaney, LPCC-S's National Provider Identifier is 1639429335, issued on Sep 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Covington, KY. The record was last updated on Aug 12, 2024.