Individual
JENNIFER AILEEN CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Mailing address
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615-4998
(423) 282-1480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1277
SC
103TC0700X
Clinical Psychologist
Primary
3451
TN
Other
Enumeration date
09/04/2007
Last updated
03/13/2017
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