Individual
AUDRIANA MAKOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7710 E BRAINERD RD APT 1201, CHATTANOOGA, TN 37421-5925
(912) 666-0690
Mailing address
1912 ROBBINS ST, CHATTANOOGA, TN 37404-1111
(912) 666-0690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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