Individual provider · Type 1 NPI
Judith Carla Durall, MA
Professional Counselor · Johnson City, TN
NPI number
1508572033
Active
Practice location
123 Bob Jobe Rd
Johnson City, TN 37615-2142
Mailing address
PO Box 8936
Johnson City, TN 37615-0936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PE1622. (TN) |
Professional Counselor: Definition to come...
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About NPI 1508572033
Judith Carla Durall, MA's National Provider Identifier is 1508572033, issued on Jan 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Johnson City, TN. The record was last updated on Jan 27, 2023.