Individual
ANDREA MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
440 PARK AVENUE, LEBANON, TN 37087
(615) 449-9611
Mailing address
440 PARK AVENUE, LEBANON, TN 37087
(615) 449-9611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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