Individual
JAUNITA SOUTHARD TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 684-0522
(931) 684-6238
Mailing address
709 DAVIDSON ST, TULLAHOMA, TN 37388-3607
(931) 684-0522
(931) 684-6238
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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