Individual
KATHRYN N MYRICK-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
5703 ASHBRIAR AVE, MEMPHIS, TN 38120-1827
(901) 619-6583
Mailing address
5703 ASHBRIAR AVE, MEMPHIS, TN 38120-1827
(901) 619-6583
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2862
TN
101YM0800X
Mental Health Counselor
2862
TN
101YP2500X
Professional Counselor
Primary
2862
TN
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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