Individual
MYCHICIA WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
29 KENWAY ST, COOKEVILLE, TN 38501-1062
(423) 704-0930
(423) 704-0930
Mailing address
29 KENWAY ST, COOKEVILLE, TN 38501-1062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8096
TN
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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