Provider Demographics
NPI:1528947793
Name:BARRON, JESSICA RENEE (INTERN LPC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:RENEE
Last Name:BARRON
Suffix:
Gender:F
Credentials:INTERN LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WALLACE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41014-1246
Mailing Address - Country:US
Mailing Address - Phone:606-923-7802
Mailing Address - Fax:
Practice Address - Street 1:31 GIRARD ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1664
Practice Address - Country:US
Practice Address - Phone:310-619-8989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty