Individual
LEAH G ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
203 GRAY COMMONS CIR STE 110, JOHNSON CITY, TN 37615-5406
(833) 371-0509
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6669
TN
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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