Individual
MRS. IRENE Y. BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMIN, LADACII, CAADC
Contact information
Practice address
9725 WOODLAND HILLS DR, CORDOVA, TN 38018-6661
(901) 378-0723
Mailing address
9725 WOODLAND HILLS DR, CORDOVA, TN 38018-6661
(901) 378-0723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LDC0000001224
TN
101Y00000X
Counselor
LDC1224
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC1224
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057884
—
TN
Enumeration date
05/11/2017
Last updated
01/29/2021
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