Individual
MR. MARK A LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., S.P.E.
Contact information
Practice address
377 SHORT ST STE D, COOKEVILLE, TN 38501-7119
(931) 528-9399
(931) 526-9300
Mailing address
377 SHORT ST STE D, COOKEVILLE, TN 38501-7119
(931) 528-9399
(931) 526-9300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4325617
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3047023
BLUE CROSS ID
TN
Enumeration date
10/03/2006
Last updated
07/08/2007
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