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NPI Code Detail

MEDICARE: KIP TRACY COLE

MEDICARE: KIP TRACY COLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor7518TN

General Provider Information

NPI Number : 1144812686
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIP TRACY COLE
Provider Business Mailing Address
First Line : 39 MURRAY GUARD DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-3610
Country : US
Telephone Number : 731-736-4400
Fax Number :
Provider Business Practice Location Address
First Line : 39 MURRAY GUARD DR
Second Line :
City : JACKSON
State : TN
Zip : 38305-3610
Country : US
Telephone Number : 731-736-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2021
Last Update Date : 12/07/2024

Similar Medicare Providers

1497732861 — DR. JOHN WALTON CROWDER D.D.S.
Practice Location Address:
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1003302175 — DORIS KAY BLACK LMSW
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1336614130 — POSITIVE LIVING GROUP
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1154064905 — CHIVONNE J MAYS LAPSW
Practice Location Address:
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Directions to “ KIP TRACY COLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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