Individual
BRIAN STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1635 CHESTNUT ST, CHATTANOOGA, TN 37408-1024
(423) 400-7730
Mailing address
1635 CHESTNUT ST, CHATTANOOGA, TN 37408-1024
(423) 400-7730
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2849
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017946
—
TN
Enumeration date
01/13/2015
Last updated
12/23/2015
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