| Iron Mountain Counseling & Consultation, Llc | |
|
204 Rogosin Dr Suite 1 Elizabethton TN 37643-2965 | |
| (423) 542-9900 | |
| (423) 542-0900 |
| Full Name | Iron Mountain Counseling & Consultation, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 204 Rogosin Dr, Elizabethton, Tennessee |
| Authorized Official Name and Position | Deanna Lynn Irick (PRESIDENT) |
| Authorized Official Contact | 4235429900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iron Mountain Counseling & Consultation, Llc 204 Rogosin Dr Suite 1 Elizabethton TN 37643-2965 Ph: (423) 542-9900 | Iron Mountain Counseling & Consultation, Llc 204 Rogosin Dr Suite 1 Elizabethton TN 37643-2965 Ph: (423) 542-9900 |
| NPI Number | 1730488628 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 03/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730488628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0000001852 (Tennessee) | Primary |
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