Individual provider · Type 1 NPI

Jaunita Southard Tate

Mental Health Counselor · Tullahoma, TN

NPI number 1790040152 Active

Practice location

709 Davidson St
Tullahoma, TN 37388-3607

Fax (931) 684-6238

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790040152

Jaunita Southard Tate's National Provider Identifier is 1790040152, issued on Jul 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tullahoma, TN. The record was last updated on Jul 11, 2012.