MRS. Tammi Renee Ivy, MRC, LPC

NPI #1104062868 in Cabot, Arkansas

Provider Information

NPI Number: 1104062868
Entity Type: Individual
Name: MRS. Tammi Renee Ivy, MRC, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MRC, LPC
Enumeration Date: Dec 31, 2008
Last Updated: Feb 21, 2018

Practice Location

Address: 3358 SUITE D. S. 2ND STREET
City: Cabot
State: Arkansas
ZIP Code: 72023
Phone: (501) 286-6053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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