Individual
ANDREA NICOLE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC
Contact information
Practice address
605 WATAUGA ST, KINGSPORT, TN 37660-4447
(423) 408-2601
Mailing address
605 WATAUGA ST, KINGSPORT, TN 37660-4447
(423) 408-2601
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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