Individual
JESSICA LYNN BOLIN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2569 COOK RD, CROSSVILLE, TN 38571-3208
(931) 326-4341
Mailing address
505 OLD STATE RD, SPARTA, TN 38583-8038
(931) 787-4447
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5274
TN
Other
Enumeration date
04/18/2017
Last updated
05/10/2021
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