Individual
JASON LEAVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
301 RED COAT RUN, CLARKSVILLE, TN 37043-5334
(931) 208-2103
Mailing address
301 RED COAT RUN, CLARKSVILLE, TN 37043-5334
(931) 208-2103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5109
TN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/27/2019
Last updated
04/28/2025
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