Individual
TANYA FOURQUREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
650 JOEL DR BLDG E, FORT CAMPBELL, KY 42223-8355
(270) 461-0637
Mailing address
650 JOEL DR BLDG E, FORT CAMPBELL, KY 42223-8355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
252497
KY
Other
Enumeration date
07/27/2022
Last updated
06/15/2026
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