Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 172920 | KY |
N | 101YS0200X | School Counselor | 201195131 | KY |
NPI | 1043710338 |
---|---|
Provider Name | Erin Dawn Jarrett |
First Address | Louisville, KY 40218-3047 |
Second Address | Louisville, KY 40218-3047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2018 |
Last Update Date | 13/02/2018 |