Individual
JENNIFER HASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP-TEMP
Contact information
Practice address
2700 S ROAN ST STE 410, JOHNSON CITY, TN 37601-7638
(423) 579-4958
Mailing address
1413 HAPPY VALLEY ST, ELIZABETHTON, TN 37643-2839
(423) 579-4958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5344
TN
Other
Enumeration date
01/18/2021
Last updated
09/21/2021
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