Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003210139 |
---|---|
Provider Name | Anne Loubier |
First Address | Silver Point, TN 38582-7996 |
Second Address | Cookeville, TN 38501-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2014 |
Last Update Date | 17/10/2014 |