Individual
ROCKLAN BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5840 TN-30, BENTON, TN 37307
(706) 573-4110
Mailing address
486 FREEMAN CIR, BENTON, TN 37307-5419
(706) 573-4110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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