Provider Demographics
NPI:1609966126
Name:VANN, STEVEN KENT (MAR, LPC-MHSP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:KENT
Last Name:VANN
Suffix:
Gender:M
Credentials:MAR, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 FREY ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-1727
Mailing Address - Country:US
Mailing Address - Phone:615-347-8720
Mailing Address - Fax:509-561-3008
Practice Address - Street 1:294 FREY ST
Practice Address - Street 2:SUITE #3
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-1727
Practice Address - Country:US
Practice Address - Phone:615-347-8720
Practice Address - Fax:509-561-3008
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1869101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional