Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003117706 |
---|---|
Provider Name | Sarah J Garner |
First Address | Tullahoma, TN 37388-3395 |
Second Address | Tullahoma, TN 37388-3395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2010 |
Last Update Date | 11/11/2010 |