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1669163549
JORDAN ASHLEY LOVETERE GRASTY
JOHNSON CITY, TN
NPI
1669163549
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Former Name
JORDAN ASHLEY LOVETERE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 6540)
Enumeration Date
2023-05-19
Last Update Date
2023-05-19
Business Address
JORDAN ASHLEY LOVETERE GRASTY LPC
4132 BRISTOL HWY STE 5
JOHNSON CITY, TN 37601-3162
Phone number: 423-218-2131
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Mailing Address
JORDAN ASHLEY LOVETERE GRASTY LPC
1719 W LAKEVIEW DR APT 5
JOHNSON CITY, TN 37601-4345
Phone number: 865-851-1173
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