CALEB KENNETH VIVIO

JACKSON, TN
NPI1215791090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  5554)
Enumeration Date2024-02-12
Last Update Date2024-08-15
Business Address
CALEB KENNETH VIVIO LPC-MHSP
109 TUCKER ST
JACKSON, TN 38301-4092
Phone number: 731-203-1584
Mailing Address
CALEB KENNETH VIVIO LPC-MHSP
7556 US HIGHWAY 70
BARTLETT, TN 38133-2686
Phone number: 901-552-3497
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