Individual
SUSANNE PAULINE CHIRCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, CAADC
Contact information
Practice address
795 HOLLY LN, WAVERLY, TN 37185-3392
(931) 296-9813
Mailing address
795 HOLLY LN, WAVERLY, TN 37185-3392
(931) 296-9813
(931) 295-9853
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
TN-062
TN
101YP2500X
Professional Counselor
CRC0024686
IL
Other
Enumeration date
01/28/2020
Last updated
12/10/2024
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