Individual
DR. JODI POLAHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
(423) 439-7118
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-6464
(423) 439-7118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2737
TN
103TC0700X
Clinical Psychologist
Primary
P2737
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514093
—
TN
Enumeration date
12/05/2007
Last updated
01/18/2024
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