Individual
MRS. VIVIAN WINDSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
2070 PEA RIDGE RD, TIPTONVILLE, TN 38079-4422
(731) 442-9287
Mailing address
2070 PEA RIDGE RD, TIPTONVILLE, TN 38079-4422
(731) 442-9287
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002067
TN
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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