Individual
VANESSA CIVIL-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
217 E MARKET ST STE 100, JOHNSON CITY, TN 37601-4875
(423) 207-3336
Mailing address
217 E MARKET ST STE 100, JOHNSON CITY, TN 37601-4875
(423) 207-3336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7821
TN
Other
Enumeration date
02/07/2023
Last updated
06/04/2025
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