Individual
AUDRA MARLANA TATE KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
701 CHEROKEE BLVD, CHATTANOOGA, TN 37405-3339
(423) 421-8733
Mailing address
PO BOX 493, WHITWELL, TN 37397-0493
(423) 421-8733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2403
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529812
—
TN
Enumeration date
02/20/2009
Last updated
04/10/2013
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