Individual
JENNIFER R. REVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1517 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5485
(423) 839-2550
(423) 839-2552
Mailing address
1517 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5485
(423) 839-2550
(423) 839-2552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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