Individual
TAMATHA MICHELLE BORKCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1714 MONROE AVE, MEMPHIS, TN 38104-3924
(901) 270-6823
Mailing address
2220 UNION AVE, MEMPHIS, TN 38104-4315
(901) 567-3554
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5852
TN
Other
Enumeration date
02/11/2022
Last updated
10/31/2023
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