Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 000723277 | TN |
NPI | 1225622210 |
---|---|
Provider Name | Julianna Norman |
First Address | Cookeville, TN 38501 |
Second Address | Cookeville, TN 38501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2021 |
Last Update Date | 22/02/2021 |