Individual
KRISTEL DAWNE HEADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 857-5571
(423) 857-5237
Mailing address
1021 W OAKLAND AVE, SUITE 207, JOHNSON CITY, TN 37604-2191
(423) 915-5100
(423) 952-3109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2339
TN
Other
Enumeration date
02/26/2009
Last updated
02/26/2009
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