Individual
DR. AUDREY LEA CANAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,LPC,MHSP
Contact information
Practice address
1711 WILLIAMS ST, CHATTANOOGA, TN 37408-1725
(423) 267-4798
(423) 267-4798
Mailing address
1711 WILLIAMS ST, CHATTANOOGA, TN 37408-1725
(423) 267-4798
(423) 267-4798
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000001501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4066220
BLUE CROSS BLUE SHIELS
TN
Enumeration date
06/18/2007
Last updated
07/08/2007
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