Individual
BERNETTA ST. OMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1734 MADISON AVE, MEMPHIS, TN 38104-6414
(901) 722-9420
(901) 722-9422
Mailing address
1734 MADISON AVE, MEMPHIS, TN 38104-6414
(901) 722-9420
(901) 722-9422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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