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Individual

JORDAN ASHLEY LOVETERE GRASTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4132 BRISTOL HWY STE 5, JOHNSON CITY, TN 37601-3162
(423) 218-2131
Mailing address
1719 W LAKEVIEW DR APT 5, JOHNSON CITY, TN 37601-4345
(865) 851-1173

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6540
TN

Other

Enumeration date
05/19/2023
Last updated
05/19/2023
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