Individual
KELLY MARIE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3133
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5931
TN
101YM0800X
Mental Health Counselor
5931
TN
101YP2500X
Professional Counselor
5931
TN
Other
Enumeration date
11/11/2024
Last updated
01/22/2025
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