Individual
AMY ELIZABETH VANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 WHEELER LN STE 6, LA FOLLETTE, TN 37766-2901
(423) 201-9329
Mailing address
1094 WATER ST, SPEEDWELL, TN 37870-7879
(423) 489-0319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0016637
CO
Other
Enumeration date
04/01/2019
Last updated
12/19/2023
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