Individual provider · Type 1 NPI
Jenny Bardena Durham, LPCA
Professional Counselor · London, KY
NPI number
1649812876
Active
Practice location
189 KY-192
London, KY 40741
Mailing address
PO Box 303
East Bernstadt, KY 40729-0303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 246663 (KY) |
| Professional Counselor Primary | 101YP2500X | 268211 (KY) |
Professional Counselor: Definition to come...
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About NPI 1649812876
Jenny Bardena Durham, LPCA's National Provider Identifier is 1649812876, issued on Oct 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in London, KY. The record was last updated on Apr 29, 2022.