Provider Demographics
NPI:1568032860
Name:DRAGOVAN-STORY, KARI ANN (BA, MS, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
Last Name:DRAGOVAN-STORY
Suffix:
Gender:F
Credentials:BA, MS, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 COTTONWOOD MEADOW RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-5472
Mailing Address - Country:US
Mailing Address - Phone:653-350-4388
Mailing Address - Fax:
Practice Address - Street 1:224 COTTONWOOD MEADOW RD
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-5472
Practice Address - Country:US
Practice Address - Phone:865-335-0438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-29
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7348101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health