Individual
KATLYN JO VACANTI-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1 VANTAGE WAY STE E130, NASHVILLE, TN 37228-1591
(615) 988-4763
Mailing address
2953 KINWOOD DR, ANTIOCH, TN 37013-1339
(615) 988-4763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13647
TN
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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