Individual
CAMERON GRACE RASNAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (T)
Contact information
Practice address
317 SHELBY ST STE 301, KINGSPORT, TN 37660-3680
(423) 516-9166
Mailing address
317 SHELBY ST STE 301, KINGSPORT, TN 37660-3680
(423) 516-9166
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7509
TN
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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