Individual
STAR COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2125 N MAPLE AVE, COOKEVILLE, TN 38501-1481
(423) 215-4931
Mailing address
2125 N MAPLE AVE, COOKEVILLE, TN 38501-1481
(423) 215-4931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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