Provider Demographics
NPI:1487368593
Name:HELTON, JENNIFER LYNN (M ED LPCA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:HELTON
Suffix:
Gender:F
Credentials:M ED LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 WALKER RD
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:KY
Mailing Address - Zip Code:40997-6419
Mailing Address - Country:US
Mailing Address - Phone:606-622-3806
Mailing Address - Fax:
Practice Address - Street 1:1681 WALKER RD
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:KY
Practice Address - Zip Code:40997-6419
Practice Address - Country:US
Practice Address - Phone:606-622-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY287827101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health