Individual
JESSICA RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 RICE HILL CIR, ANTIOCH, TN 37013-2199
(615) 462-1816
Mailing address
1480 RICE HILL CIR, ANTIOCH, TN 37013-2199
(615) 462-1816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
111196851
TN
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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