Provider Demographics
NPI:1760983191
Name:MEEKS, JENNA (LPCC-S)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:MEEKS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-1204
Mailing Address - Country:US
Mailing Address - Phone:270-963-1207
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 250
Practice Address - Street 2:
Practice Address - City:KUTTAWA
Practice Address - State:KY
Practice Address - Zip Code:42055-0250
Practice Address - Country:US
Practice Address - Phone:270-601-4235
Practice Address - Fax:270-350-4673
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261574101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional