Individual
LISA U JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
130 E WASHINGTON AVE, SUITE 4, ATHENS, TN 37303-3668
(423) 333-7132
Mailing address
130 E WASHINGTON AVE, SUITE 4, ATHENS, TN 37303-3668
(423) 333-7132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1695
TN
101YP2500X
Professional Counselor
6590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1695
TN LICENSE NUMBER
TN
Enumeration date
07/23/2007
Last updated
10/14/2009
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