Individual
MR. JONATHAN LYNN HARTSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
207 BOONE STREET, SUITE 27, JOHNSON CITY, TN 37604
(423) 444-3677
Mailing address
2101 CHEROKEE RD UNIT 4, JOHNSON CITY, TN 37604-3474
(423) 426-4733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5391
TN
Other
Enumeration date
03/16/2011
Last updated
01/18/2012
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