Organization
TENNESSEE COMMUNITY COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FITZPATRICK NCACII, SAP, TN LIC (CLINICAL DIRECTOR)
(423) 296-6451
Entity
Organization
Contact information
Practice address
5600 BRAINERD RD, SUITE B-42, CHATTANOOGA, TN 37411-5310
(423) 296-6451
(423) 296-6515
Mailing address
5600 BRAINERD RD, SUITE B-42, CHATTANOOGA, TN 37411-5310
(423) 296-6451
(423) 296-6515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1000000002842
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000002842
STATE OF TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
TN
Enumeration date
07/08/2008
Last updated
07/08/2008
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