Individual provider · Type 1 NPI

Jody Dean Farra, MA LPE LPC

Mental Health Counselor · Bristol, TN

NPI number 1285641340 Active

Practice location

6 Sixth St, Central Building Suite 205
Bristol, TN 37620

Call (423) 968-2225 Map

Fax (423) 968-2225

Mailing address

1242 Highridge Drive
Kingsport, TN 37664

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPE000531 (TN)
Mental Health Counselor Primary 101YM0800XLPC000282 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1285641340

Jody Dean Farra, MA LPE LPC's National Provider Identifier is 1285641340, issued on Aug 2, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bristol, TN. The record was last updated on Jul 8, 2007.