Individual
KIM AGOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
133 INDIAN LAKE DRIVE, HENDERSONVILLE, TN 37073
(615) 824-5801
(615) 824-5803
Mailing address
118 N CHURCH ST, MURFREESBORO, TN 37130-3636
(615) 278-2241
(615) 904-9182
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1900
TN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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