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NPI Code Detail

MEDICARE: THELMA JEAN BARR MASTERS COUNSELING

MEDICARE: THELMA JEAN BARR MASTERS COUNSELING
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1053876086
Entity Type Code : Individual
Provider Name (Legal Business Name) : THELMA JEAN BARR MASTERS COUNSELING
Provider Business Mailing Address
First Line : 201 W SPRINGDALE AVE
Second Line :
City : KNOXVILLE
State : TN
Zip : 37917-5158
Country : US
Telephone Number : 865-637-9711
Fax Number :
Provider Business Practice Location Address
First Line : 584 CONGRESS PKWY S
Second Line :
City : ATHENS
State : TN
Zip : 37303-2258
Country : US
Telephone Number : 865-637-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2019
Last Update Date : 02/04/2019

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