Individual
MR. STEPHEN REED MCILVAINE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
105 LEE PKWY W, SUITE H, CHATTANOOGA, TN 37421-6771
(423) 499-9335
(423) 499-9334
Mailing address
9309 BERKSHIRE CIR, CHATTANOOGA, TN 37421-4446
(423) 280-2643
(423) 499-9334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
560
TN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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