Organization
IRON MOUNTAIN COUNSELING & CONSULTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA LYNN IRICK M.ED., NCC, LPC-MHSP (PRESIDENT)
(423) 542-9900
Entity
Organization
Contact information
Practice address
204 ROGOSIN DR, SUITE 1, ELIZABETHTON, TN 37643-2965
(423) 542-9900
(423) 542-0900
Mailing address
204 ROGOSIN DR, SUITE 1, ELIZABETHTON, TN 37643-2965
(423) 542-9900
(423) 542-0900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001852
TN
Other
Enumeration date
03/18/2011
Last updated
03/18/2011
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