Juanita M Kissell, MA, LPC, NCC, CCMHC

NPI #1265741805 in Portland, Tennessee

Provider Information

NPI Number: 1265741805
Entity Type: Individual
Name: Juanita M Kissell, MA, LPC, NCC, CCMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MA, LPC, NCC, CCMHC
Enumeration Date: Sep 30, 2010
Last Updated: Nov 18, 2015

Practice Location

Address: 1003 BIRCH LN
City: Portland
State: Tennessee
ZIP Code: 37148-6027
Phone: (615) 878-4058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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