Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
Y | 101YM0800X | Mental Health Counselor | TN | |
N | 104100000X | Social Worker |
NPI | 1003302175 |
---|---|
Provider Name | Doris K Bobbitt |
First Address | Murfreesboro, TN 37129-2353 |
Second Address | Nashville, TN 37203-1517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2018 |
Last Update Date | 04/08/2021 |