Individual
RENEE ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
26 LAMAR CIR, SUITE 7, JACKSON, TN 38305
(901) 231-9063
Mailing address
45 TUSCANY CV, JACKSON, TN 38305-6916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5444
TN
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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