Individual
JENNIFER ANN GARDNER CUMMINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6216 AIRPARK DR, CHATTANOOGA, TN 37421-2988
(423) 899-0024
(423) 899-5688
Mailing address
6216 AIRPARK DR, CHATTANOOGA, TN 37421-2988
(423) 899-0024
(423) 899-5688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
2152
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2152
STATE LICENSE
TN
Enumeration date
02/15/2007
Last updated
06/18/2020
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