Individual
WINTER PAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (TEMPORARY)
Contact information
Practice address
602 W IRIS DR, NASHVILLE, TN 37204-3121
(615) 383-1995
(615) 292-1919
Mailing address
602 W IRIS DR, NASHVILLE, TN 37204-3121
(615) 383-1995
(615) 292-1919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5415
TN
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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