Individual
CHANDRA CHRISTINE MOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 REMINGTON TRCE, CLARKSVILLE, TN 37043-1619
(916) 337-3717
Mailing address
1816 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(931) 229-0114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000003961
TN
Other
Enumeration date
03/23/2020
Last updated
12/21/2020
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