Individual
TANYA FOURQUREAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, NCC
Contact information
Practice address
2437 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8400
Mailing address
2437 21ST ST, FORT CAMPBELL, KY 42223-5582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
252497
KY
Other
Enumeration date
07/27/2022
Last updated
09/07/2022
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