DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JUANITA M KISSELL, MA, LPC, NCC, CCMHC

Active

JUANITA M KISSELL, MA, LPC, NCC, CCMHC is a Mental Health Counselor healthcare provider located in PORTLAND, Tennessee. NPI 1265741805 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORTLAND, TN

Registration Details

NPI Number
1265741805
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2010 (15.832522465517 yrs)
Last Updated
Nov 18, 2015
Licenses
LPC00545 (MN)
LPC2686 (TN)
LPCC1290 (KY)

Practice Information

Address
1003 BIRCH LN
PORTLAND, TN, 371486027
Browse TN providers · Browse ZIP 37148
Phone
6158784058
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Professional Counselor

Other Mental Health Counselor Providers in PORTLAND, TN

Name Credential NPI
ALYSSA FERNANDEZ 1457766537
KALEB SHANE WHITWORTH LPCA 1770158990
ELIZABETH HARRINGTON 1376355701
BRIANNA KRISTINE MARTIN 1811786312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.