Individual
MARY M BROHIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-MHSP
Contact information
Practice address
222 CLAY LITTLE RD, ELIZABETHTON, TN 37643-7644
(423) 341-2035
Mailing address
222 CLAY LITTLE RD, ELIZABETHTON, TN 37643-7644
(423) 341-2035
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC1781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516680
—
TN
Enumeration date
10/12/2009
Last updated
06/05/2024
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