Individual
LESLIE PAULA VANRAVENSWAAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFC
Contact information
Practice address
7015 CONCORD RD, BRENTWOOD, TN 37027-6606
(615) 283-0898
Mailing address
1916 VINE ST, NOLENSVILLE, TN 37135-2947
(615) 283-0898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1837
TN
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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