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Individual

MS. KELLY SHAUN HAUGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
207 E MAIN ST, FOUNTAIN PLACE SUITE 1C, JOHNSON CITY, TN 37604-5747
(423) 292-4673
(423) 434-2991
Mailing address
PO BOX 4475, JOHNSON CITY, TN 37602-4475
(423) 292-8364
(423) 434-2991

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1498
TN
101YP2500X
Professional Counselor
1498
TN

Other

Enumeration date
02/28/2006
Last updated
05/28/2015
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