Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2541 | TN |
NPI | 1003140450 |
---|---|
Provider Name | Mrs. Jeanne S Robinson |
First Address | Tullahoma, TN 37388-4825 |
Second Address | Tullahoma, TN 37388-6016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2009 |
Last Update Date | 15/06/2014 |