Individual
JESSICA LAVENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
3331 PERCY PRIEST DR, NASHVILLE, TN 37214-3905
(615) 584-6644
Mailing address
3331 PERCY PRIEST DR, NASHVILLE, TN 37214-3905
(615) 584-6644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2712
TN
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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