JACOB MARSHALL QUALLS

WINCHESTER, KY
NPI1083491575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  299921)
Enumeration Date2023-09-11
Last Update Date2025-09-12
Business Address
-- JACOB MARSHALL QUALLS LCADC
1300 W LEXINGTON AVE
WINCHESTER, KY 40391-1154
Phone number: 859-287-1098
Mailing Address
-- JACOB MARSHALL QUALLS LCADC
1300 W LEXINGTON AVE
WINCHESTER, KY 40391-1154
Phone number: 859-287-1098
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