Individual
AMANDA BROOKE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6236 AIRPARK DR STE A, CHATTANOOGA, TN 37421-2988
(423) 954-8890
Mailing address
3305 CRESTONE CIR, CHATTANOOGA, TN 37411-3512
(205) 457-3768
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YM0800X
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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