Individual
TIMOTHY J TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC-MHSP, NCC
Contact information
Practice address
2650 EXECUTIVE PARK NW, SUITE 3, CLEVELAND, TN 37312-2746
(423) 473-2633
(423) 473-2643
Mailing address
126 BRENTLY WOODS DR, CHATTANOOGA, TN 37421-4449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0000002349
TN
Other
Enumeration date
12/26/2009
Last updated
12/26/2009
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