Tequila Bridges, B.S.

NPI #1023100369 in Henderson, Tennessee

Provider Information

NPI Number: 1023100369
Entity Type: Individual
Name: Tequila Bridges, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: B.S.
Enumeration Date: Sep 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 925 E MAIN ST
City: Henderson
State: Tennessee
ZIP Code: 38340-1709
Phone: (731) 989-3401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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