Individual
MRS. JENNIFER R HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
(423) 528-1535
Mailing address
332 HOSPITAL RD, MOUNTAIN CITY, TN 37683-4309
(423) 528-1535
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
TN
101YM0800X
Mental Health Counselor
—
TN
101YP2500X
Professional Counselor
Primary
—
TN
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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