Individual
DONNA LYNN CROSSWAIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
215 W MAIN ST, JONESBOROUGH, TN 37659-1229
(423) 929-8022
Mailing address
PO BOX 333, MOUNTAIN HOME, TN 37684-0333
(423) 929-8022
(423) 929-7344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PE-0000011118
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3037884
BLUE CROSS
TN
Enumeration date
01/05/2007
Last updated
07/08/2007
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