Individual
MR. BLAKE FEAGANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC-MHSP
Contact information
Practice address
707 GEORGIA AVE STE 203, CHATTANOOGA, TN 37402-2073
(423) 708-4365
Mailing address
707 GEORGIA AVE STE 203, CHATTANOOGA, TN 37402-2073
(423) 708-4365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5105
TN
101YM0800X
Mental Health Counselor
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Other
Enumeration date
05/23/2016
Last updated
08/05/2020
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