Organization
FAMILY MATTERS BRADLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KIE VINING CMIN, LPC, MHSP, NCC (CHAIRMAN OF BOARD)
(423) 476-1933
Entity
Organization
Contact information
Practice address
423 CENTRAL AVE NW, CLEVELAND, TN 37311-4923
(423) 476-1933
(423) 559-1848
Mailing address
423 CENTRAL AVE NW, CLEVELAND, TN 37311-4923
(423) 476-1933
(423) 559-1848
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000000694
TN
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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