person
Juanita M Kissell, MA,LPC,NCC,CCMHC
Professional Counselor in Portland, Tennessee
NPI 1265741805

Juanita M Kissell is a Professional Counselor based in Portland, TN and is specialized in Professional. Juanita M Kissell practices in Portland, TN and has the professional credentials of MA,LPC,NCC,CCMHC. The NPI Number for Juanita M Kissell is 1265741805 and holds a License No. LPC00545 (Tennessee).

The current practice location address for Juanita M Kissell is 1003 Birch Ln, Portland, TN and can be reached out via phone at 615-878-4058.

Location: 1003 Birch Ln, Portland, TN, 37148-6027
person
Provider Profile Details
NPI Number
1265741805
Provider Name
Juanita M Kissell
Credential
MA,LPC,NCC,CCMHC
Provider Entity Type
Individual
Gender
Female
Address
1003 Birch Ln, Portland, TN, 37148-6027
Phone Number
615-878-4058
Fax Number
Provider Enumeration Date
09/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1003 Birch Ln
City
State
Zip
37148-6027
Phone Number
615-878-4058
Fax Number
person
Provider Business Mailing Address Details
Address
1003 Birch Ln
City
State
Zip
37148-6027
Phone Number
615-878-4058
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC2686 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC00545 (Minnesota)
Definition
Definition to come...
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