Individual
IVANNA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
CORNER OF LAMENT AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
3724 HUGHES DR, KINGSPORT, TN 37660-7902
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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