Individual
MRS. KATHY PEACOCK FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MHSP
Contact information
Practice address
859 MCCALLIE AVE, CHATTANOOGA, TN 37403-2621
(423) 322-3178
Mailing address
859 MCCALLIE AVE, CHATTANOOGA, TN 37403-2621
(423) 322-3178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000000829
TN
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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