Individual
TONYA WACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1028 WATERFORD CIR, CLARKSVILLE, TN 37040-2528
(931) 338-3983
Mailing address
1028 WATERFORD CIR, CLARKSVILLE, TN 37040-2528
(931) 338-3983
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104252
KY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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