Individual provider · Type 1 NPI

Jason Street, LPCA

Professional Counselor · Franklin, KY

NPI number 1699053512 Active

Practice location

1031 Brookhaven Rd
Franklin, KY 42134-2743

Call (270) 901-5000 Map

Fax (270) 586-8828

Mailing address

380 Suwannee Trail St
Bowling Green, KY 42103-7956

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X1239 (KY)

Professional Counselor: Definition to come...

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About NPI 1699053512

Jason Street, LPCA's National Provider Identifier is 1699053512, issued on Jul 26, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Franklin, KY. The record was last updated on Jul 26, 2011.