Individual
MRS. CATHY CHRISTINE TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
25 SECURITY DR, JORDAN PROFESSIONAL COUNSELING, JACKSON, TN 38305-3754
(731) 298-6388
Mailing address
64 WRIGHTS MILL DR, JACKSON, TN 38305-8571
(731) 298-6388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001861
IN
101YM0800X
Mental Health Counselor
Primary
LPC0000002380
TN
Other
Enumeration date
05/04/2007
Last updated
06/26/2024
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