Individual
TERESA K FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
BUILDING 52 LAKE DR, MOUNTAIN HOME, TN 37684
(423) 439-8000
(423) 439-2200
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
507
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
507
LICENSE
TN
Enumeration date
11/02/2006
Last updated
07/08/2007
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