Individual
KELLY ELIZABETH SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
842 LAMONT ST, KINGSPORT, TN 37664-3009
(276) 469-5134
Mailing address
842 LAMONT ST, KINGSPORT, TN 37664-3009
(276) 469-5134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5475
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5475
TN DEPARTMENT OF HEALTH
TN
Enumeration date
06/25/2021
Last updated
06/25/2021
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