Provider Demographics
NPI:1407383789
Name:ORCHARD, JENNIFER R (MA, LPCC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:R
Last Name:ORCHARD
Suffix:
Gender:F
Credentials:MA, LPCC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1060
Mailing Address - Country:US
Mailing Address - Phone:859-353-8568
Mailing Address - Fax:859-379-6646
Practice Address - Street 1:1503 LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1060
Practice Address - Country:US
Practice Address - Phone:859-353-8568
Practice Address - Fax:859-379-6646
Is Sole Proprietor?:No
Enumeration Date:2017-05-17
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY275997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional