Individual
KRISTI JO RUNIONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Mailing address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621674308
—
TN
Enumeration date
05/14/2009
Last updated
05/14/2009
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