Individual
MS. LYNDA BARRETT HARGROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4132 BRISTOL HWY, PARKSIDE CENTER SUITE 3, JOHNSON CITY, TN 37601-2932
(423) 952-4666
(276) 794-7965
Mailing address
PO BOX 114, BRISTOL, TN 37621-0114
(423) 952-4666
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LSW0000003529
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LSW0000003529
LCSW LICENSE NO
TN
Enumeration date
10/23/2006
Last updated
12/01/2010
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