Individual
TYRA SHAE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. LPC-MHSP (TEMP)
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Mailing address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6654
TN
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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