Individual
REBECCA LOCKRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP-TEMP
Contact information
Practice address
217 E MARKET ST STE 100, JOHNSON CITY, TN 37601-4875
(423) 207-3336
Mailing address
217 E MARKET ST STE 100, JOHNSON CITY, TN 37601-4875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5587
TN
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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