Organization
TRUTH IN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA M KISSELL LPC-MHSP (OWNER, COUNSELOR)
(615) 878-4058
Entity
Organization
Contact information
Practice address
1000 BIRCH LN, PORTLAND, TN 37148-6027
(615) 878-4058
Mailing address
1000 BIRCH LN, PORTLAND, TN 37148-6027
(615) 878-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC2686
TN
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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