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1800 Mccallie Ave Chattanooga TN 37404-3025 | |
| (423) 697-3913 | |
| (423) 697-3812 |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1800 Mccallie Ave, Chattanooga, Tennessee |
| Authorized Official Name and Position | Sandra L Hollett (CEO) |
| Authorized Official Contact | 4236973813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1800 Mccallie Ave Chattanooga TN 37404-3025 Ph: (423) 697-3913 | 1800 Mccallie Ave Chattanooga TN 37404-3025 Ph: (423) 697-3913 |
| NPI Number | 1760696553 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760696553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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