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1619755451
JACOB D DURHAM
SOMERSET, KY
NPI
1619755451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: KY 286980)
Enumeration Date
2023-09-21
Last Update Date
2023-09-21
Business Address
JACOB D DURHAM LPCA
647 W HIGHWAY 80 STE 1
SOMERSET, KY 42503-2897
Phone number: 606-802-2880
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Mailing Address
JACOB D DURHAM LPCA
1541 SAND SPRINGS RD
MOUNT VERNON, KY 40456-9060
Phone number: 606-392-9929
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