Mir, Kristen
Mir, Kristen is an individual health care provider with primary practice located at 2514 1/2 Wesley St Ste 2 , Johnson City TN 37601-1754. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mir, Kristen can be contacted via phone (423) 529-0385.Contact Information
Primary practice address
2514 1/2 Wesley St Ste 2
Johnson City TN 37601-1754
Phone: (423) 529-0385
Fax: (423) 414-2699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | CSW0000006858 | Tennessee |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LSW0000005255 | Tennessee |
Profile Details
NPI number | 1689714651 |
---|---|
LBN Legal business name | Mir, Kristen |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 7th, 2007 |
Last updated | Feb 3rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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