Individual
AMANDA PAOLA JOVE VIVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1161 GENTRY DR, CLARKSVILLE, TN 37043-1641
(615) 819-5431
Mailing address
1161 GENTRY DR, CLARKSVILLE, TN 37043-1641
(787) 413-3193
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6073
TN
Other
Enumeration date
07/07/2022
Last updated
10/03/2023
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