Individual provider · Type 1 NPI

Kip Tracy Cole

Professional Counselor · Jackson, TN

NPI number 1144812686 Active

Practice location

39 Murray Guard Dr
Jackson, TN 38305-3610

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X7518 (TN)

Professional Counselor: Definition to come...

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About NPI 1144812686

Kip Tracy Cole's National Provider Identifier is 1144812686, issued on Feb 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, TN. The record was last updated on Dec 7, 2024.