Individual
JENNIFER LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
1711 19TH AVE S, NASHVILLE, TN 37212-3701
(615) 289-1774
(615) 383-4473
Mailing address
1711 19TH AVE S, NASHVILLE, TN 37212-3701
(615) 289-1774
(615) 383-4473
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 1767
TN
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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