Individual
TENA COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2370 QUINLAND LAKE RD STE 115, COOKEVILLE, TN 38506-7527
(931) 526-6042
Mailing address
702 MAJESTY DR, MURFREESBORO, TN 37129-5221
(615) 542-0327
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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