Individual
SHIRLEY R. KOORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT, LPC-MHSP
Contact information
Practice address
942 COUNTY ROAD 609, ATHENS, TN 37303
(931) 797-8461
Mailing address
942 COUNTY ROAD 609, ATHENS, TN 37303-6365
(931) 797-8461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2742
TN
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1525402
—
TN
Enumeration date
03/02/2007
Last updated
07/05/2018
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