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Individual

MR. ANDREW DAVID KITZMILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP

Contact information

Practice address
1730 OLD GRAY STATION RD, JOHNSON CITY, TN 37615-3869
(423) 202-3008
(423) 202-7835
Mailing address
1730 OLD GRAY STATION RD, JOHNSON CITY, TN 37615-3869
(423) 202-3008
(423) 202-7835

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2494
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q022368
TN
Enumeration date
10/08/2009
Last updated
05/15/2026
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