KATIE LINN KELLY BLACK

JACKSON, TN
NPI1588426803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TN  6968)
Enumeration Date2024-01-24
Last Update Date2024-02-02
Business Address
KATIE LINN KELLY BLACK LPC
650 ASHPORT RD
JACKSON, TN 38305-7327
Phone number: 731-431-5069
Mailing Address
KATIE LINN KELLY BLACK LPC
650 ASHPORT RD
JACKSON, TN 38305-7327
Phone number: 731-431-5069