Individual
TABETHA R DIRLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
1930 LOCKHART RIDGE RD, COLUMBIA, TN 38401-1598
(404) 430-3338
Mailing address
1930 LOCKHART RIDGE RD, COLUMBIA, TN 38401-1598
(404) 430-3338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5641
TN
Other
Enumeration date
06/16/2021
Last updated
12/17/2024
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