Individual
KASSIE PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3326 ASPEN GROVE DR STE 275, FRANKLIN, TN 37067-4820
(615) 538-0636
Mailing address
8005 TIGER CT, SPRING HILL, TN 37174-5192
(863) 255-0033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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