Individual
MRS. JOYCE ANN TENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 COLBURN PT, CHAPEL HILL, NC 27516-8073
(919) 933-0154
Mailing address
110 COLBURN PT, CHAPEL HILL, NC 27516-8073
(919) 933-0154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4156
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141W8
BLUE CROSS BLUE SHIELD
NC
05
—
6102754
—
NC
Enumeration date
03/14/2007
Last updated
07/08/2007
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