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1558739474
IVAN T JINES
GLASGOW, KY
NPI
1558739474
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: KY 247523)
Enumeration Date
2015-09-09
Last Update Date
2023-09-01
Business Address
IVAN T JINES LPCC
507 TROJAN TRL
GLASGOW, KY 42141-2214
Phone number: 844-435-0900
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Mailing Address
IVAN T JINES LPCC
PO BOX 1080
BURKESVILLE, KY 42717-1080
Phone number: 270-858-6655
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