Individual
HEATHER VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
906 TUSCULUM BLVD, GREENEVILLE, TN 37745-4065
(865) 378-6929
Mailing address
414 E MOUNTAIN VIEW RD APT 602, JOHNSON CITY, TN 37601-1278
(423) 426-7934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14949
TN
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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