Provider Demographics
NPI:1043753296
Name:DAYTON, JESSIE (LPCC)
Entity Type:Individual
Prefix:
First Name:JESSIE
Middle Name:
Last Name:DAYTON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 MALABU DR
Mailing Address - Street 2:APT 304
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3475
Mailing Address - Country:US
Mailing Address - Phone:859-940-6280
Mailing Address - Fax:
Practice Address - Street 1:3977 RAPID RUN DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-1801
Practice Address - Country:US
Practice Address - Phone:859-429-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-21
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY168625101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional