Individual
IRENA TATOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
404 BNA DR. SUITE 110, NASHVILLE, TN 37211
(615) 965-4102
Mailing address
717 HARDING PL, NASHVILLE, TN 37211-4356
(615) 965-4102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3926
TN
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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