Individual
REGAN MARIS KOUNLAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP
Contact information
Practice address
208 UPTOWN SQ, MURFREESBORO, TN 37129-0573
(931) 486-8670
(615) 796-6911
Mailing address
2620 NEW SALEM HWY APT E304, MURFREESBORO, TN 37128-4314
(931) 247-5302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
05/05/2025
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