Individual
MS. AVA C MIMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC, C-DBT
Contact information
Practice address
4321 FOREST PLAZA DR, HIXSON, TN 37343-5017
(423) 243-0088
Mailing address
4321 FOREST PLAZA DR, HIXSON, TN 37343-5017
(423) 243-0088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC013029
GA
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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