Individual
EDWARD CLOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7372 APPLEGATE LN, CHATTANOOGA, TN 37421-5200
(423) 994-7264
Mailing address
7372 APPLEGATE LN, CHATTANOOGA, TN 37421-5200
(423) 994-7264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T0140
GA
101YM0800X
Mental Health Counselor
Primary
4236
TN
Other
Enumeration date
09/26/2016
Last updated
09/17/2020
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