Provider Demographics
NPI:1528677556
Name:STARCHER, JESSICA (LPCA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:STARCHER
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S BRETT DR
Mailing Address - Street 2:
Mailing Address - City:FORT KNOX
Mailing Address - State:KY
Mailing Address - Zip Code:40121-3146
Mailing Address - Country:US
Mailing Address - Phone:910-584-4678
Mailing Address - Fax:
Practice Address - Street 1:129B HOWELL DR
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3614
Practice Address - Country:US
Practice Address - Phone:910-584-4678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY262404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health