MS. Conny Archambault

NPI #1164860698 in Tennessee Ridge, Tennessee

Provider Information

NPI Number: 1164860698
Entity Type: Individual
Name: MS. Conny Archambault
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 1330 N MAIN ST
City: Tennessee Ridge
State: Tennessee
ZIP Code: 37178-4003
Phone: (193) 172-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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