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Individual

SYLVIA JOYCE MUDENDA-WHALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC MHSP NCC

Contact information

Practice address
5726 MARLIN RD, STE 312, CHATTANOOGA, TN 37411-4008
(423) 510-0171
(423) 553-5686
Mailing address
7627 CECELIA DR, CHATTANOOGA, TN 37416-3216
(423) 855-9947
(423) 553-5686

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000001755
TN
101YS0200X
School Counselor
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
421619846
FEDERAL TAX ID
TN
05
5441063
TN
Enumeration date
07/26/2006
Last updated
04/14/2009
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