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Organization
TENNESSEE COMMUNITY COUNSELING SERVICES, INC.
Active
Organization
TENNESSEE COMMUNITY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FITZPATRICK NCACII, SAP, TN LIC (CLINICAL DIRECTOR)
(423) 296-6451
Entity
Organization
Contact information
Practice address
5600 BRAINERD RD, SUITE B-42, CHATTANOOGA, TN 37411-5310
(423) 296-6451
(423) 296-6515
Mailing address
5600 BRAINERD RD, SUITE B-42, CHATTANOOGA, TN 37411-5310
(423) 296-6451
(423) 296-6515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1000000002842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000002842
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
TN
Enumeration date
07/08/2008
Last updated
07/08/2008
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