Doctor Name: | MR. STEVEN KENT VANN |
NPI Number: | 1609966126 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MAR, LPC-MHSP |
License Number: | 1869 |
Business Practice Address: | 294 Frey St Suite #3 Ashland City, TN - 370151727 |
Business Phone Number: | 6153478720 |
Business Fax Number: | 5095613008 |
Mailing Address: | 294 Frey St, Suite #3 ASHLAND CITY |
State: | TN |
Postal Code: | 370151727 |
Phone Number: | 6153478720 |
Fax Number: | 5095613008 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 08/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |