Individual
PAYTON NICOLETTE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MHSP
Contact information
Practice address
835 GREENWOOD AVE, CLARKSVILLE, TN 37040-4067
(615) 310-0441
Mailing address
835 GREENWOOD AVE, CLARKSVILLE, TN 37040-4067
(615) 310-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000004932
TN
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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