Individual
KIP TRACY COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 MURRAY GUARD DR, JACKSON, TN 38305-3610
(731) 736-4400
Mailing address
39 MURRAY GUARD DR, JACKSON, TN 38305-3610
(731) 736-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
7518
TN
Other
Enumeration date
02/05/2021
Last updated
12/07/2024
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