Individual
EILEEN ALEXANDRIA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ESQ.
Contact information
Practice address
391 BROAD ST NW STE 201, CLEVELAND, TN 37311-5039
(423) 790-3747
Mailing address
391 BROAD ST NW # 201, CLEVELAND, TN 37311-5039
(423) 790-3747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022498
—
TN
Enumeration date
05/01/2019
Last updated
02/05/2024
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