Individual
MRS. TAVIA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2492 HERBERT GARRETT RD, COOKEVILLE, TN 38506-6427
(931) 273-0144
Mailing address
2492 HERBERT GARRETT RD, COOKEVILLE, TN 38506-6427
(931) 273-0144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2824
TN
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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