Individual provider · Type 1 NPI

Jordan Ashley Lovetere Grasty, LPC

Mental Health Counselor · Johnson City, TN

NPI number 1669163549 Active

Practice location

4132 Bristol Hwy Ste 5
Johnson City, TN 37601-3162

Call (423) 218-2131 Map

Mailing address

1719 W Lakeview Dr Apt 5
Johnson City, TN 37601-4345

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6540 (TN)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1669163549

Jordan Ashley Lovetere Grasty, LPC's National Provider Identifier is 1669163549, issued on May 19, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Johnson City, TN. The record was last updated on May 19, 2023.