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NPI Code Detail

MEDICARE: MRS. ABBE UTTER MS, LPC (TEMP)

MEDICARE:  MRS. ABBE  UTTER  MS, LPC (TEMP)
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
1101Y00000XCounselor3373TN
2101YP2500XProfessional Counselor3373TN

General Provider Information

NPI Number : 1174991558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ABBE UTTER MS, LPC (TEMP)
Provider Business Mailing Address
First Line : 1604 WESTGATE CIR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-1300
Country : US
Telephone Number : 870-595-4314
Fax Number :
Provider Business Practice Location Address
First Line : 1604 WESTGATE CIR
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-1300
Country : US
Telephone Number : 870-595-4314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2015
Last Update Date : 09/02/2015

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Directions to “ MRS. ABBE UTTER MS, LPC (TEMP)” Practice Location

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