| Mrs Shasta Wilkes Corral, MED | |
|
10731 Chapman Hwy, Seymour, TN 37865-4765 | |
| (865) 573-0698 | |
| (865) 573-3174 |
| Full Name | Mrs Shasta Wilkes Corral |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 10731 Chapman Hwy, Seymour, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750724456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shasta Wilkes Corral, MED 6350 W Andrew Johnson Hwy, Department 100, Talbott, TN 37877-8605 Ph: (800) 355-3565 | Mrs Shasta Wilkes Corral, MED 10731 Chapman Hwy, Seymour, TN 37865-4765 Ph: (865) 573-0698 |
Timothy Howard Mink, MS, LADAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 11618 Chapman Hwy, Seymour, TN 37865 Phone: 865-505-2813 | |
Amanda Whichard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10731 Chapman Hwy, Seymour, TN 37865 Phone: 865-573-0698 Fax: 865-573-3174 | |
Julie Jerrolds, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Fox Creek Rd, Seymour, TN 37865 Phone: 865-617-3235 |