Individual
MRS. ELIZABETH JENNINGS IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,MHSP
Contact information
Practice address
508 N KENTUCKY ST STE 4, KINGSTON, TN 37763
(865) 603-0026
Mailing address
508 N KENTUCKY ST STE 4, KINGSTON, TN 37763-2679
(865) 603-0026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000003696
TN
Other
Enumeration date
10/21/2016
Last updated
08/24/2018
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