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3421 Dayton Blvd Roots Counseling Center Chattanooga TN 37415 | |
| (423) 682-8402 | |
| (423) 682-8403 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3421 Dayton Blvd, Chattanooga, Tennessee |
| Authorized Official Name and Position | Kimberly G Eckert (CO-OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 4232404885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3421 Dayton Blvd Roots Counseling Center Chattanooga TN 37415 Ph: (423) 682-8402 | 3421 Dayton Blvd Roots Counseling Center Chattanooga TN 37415 Ph: (423) 682-8402 |
| NPI Number | 1740708742 |
|---|---|
| Provider Enumeration Date | 08/30/2017 |
| Last Update Date | 08/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740708742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2515 (Tennessee) | Primary |
| 103TC0700X | Psychologist - Clinical | 2500 (Tennessee) | Secondary |
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