Individual
JUDITH CARLA DURALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
123 BOB JOBE RD, JOHNSON CITY, TN 37615-2142
(423) 791-1534
Mailing address
PO BOX 8936, JOHNSON CITY, TN 37615-0936
(423) 791-1534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PE1622.
TN
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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