| Mr Jody Dean Farra, MA LPE LPC | |
|
6 Sixth St, Central Building Suite 205, Bristol, TN 37620 | |
| (423) 968-2225 | |
| (423) 968-2225 |
| Full Name | Mr Jody Dean Farra |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 6 Sixth St, Bristol, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285641340 | NPI | - | NPPES |
| TPIN 13037341 | Other | FED GOVT TRADE PARTNER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PE000531 (Tennessee) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC000282 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jody Dean Farra, MA LPE LPC 1242 Highridge Drive, Kingsport, TN 37664 Ph: (423) 323-9289 | Mr Jody Dean Farra, MA LPE LPC 6 Sixth St, Central Building Suite 205, Bristol, TN 37620 Ph: (423) 968-2225 |
Diana Allison Souther, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1745 King College Rd, Bristol, TN 37620 Phone: 423-328-1289 | |
Ms. Amanda Michelle Keener, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 833-928-1484 | |
Jennifer Lauren Heglar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 865-909-7131 | |
Mrs. Amy Lynn Greene, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Miss Katherine Ellen Debusk, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristor Regional Counseling Center, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4568 | |
Dr. Marie Eileen Crawford, PHD Counselor Medicare: May Accept Medicare Assignments Practice Location: 739 Bluff City Hwy, Suite 5, Bristol, TN 37620 Phone: 423-217-1097 Fax: 423-217-1069 | |
Ladonna L Groves, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1145 Volunteer Pkwy, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 |