Individual provider · Type 1 NPI
Kelly J. Medlin, LPC
Professional Counselor · Kingsport, TN
NPI number
1104468180
Active
Practice location
2001 E Stonebrook Pl
Kingsport, TN 37660-4000
Fax (423) 467-3644
Mailing address
1167 Spratlin Park Dr
Gray, TN 37615-6205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4584 (TN) |
Professional Counselor: Definition to come...
4 other providers at this address
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- Peggy Lee Rall-Harsha, LPC MHSPProfessional Counselor Kingsport, TN NPI 1245419258
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About NPI 1104468180
Kelly J. Medlin, LPC's National Provider Identifier is 1104468180, issued on Oct 11, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingsport, TN. The record was last updated on Oct 11, 2019.