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Individual

AMBERLI KYRA SHUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, NCC

Contact information

Practice address
207 E MAIN ST STE 2E, JOHNSON CITY, TN 37604-5749
(423) 430-9362
(423) 830-0767
Mailing address
207 E MAIN ST STE 2E, JOHNSON CITY, TN 37604-5749
(423) 430-9362
(423) 830-0767

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/04/2025
Last updated
03/04/2025
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