MR. Jody Dean Farra, MA LPE LPC

NPI #1285641340 in Bristol, Tennessee

Provider Information

NPI Number
1285641340
Entity Type
Individual
Name
MR. Jody Dean Farra, MA LPE LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
MA LPE LPC
Enumeration Date
Aug 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6 SIXTH ST
Address 2
CENTRAL BUILDING SUITE 205
ZIP Code
37620
Phone
(423) 968-2225

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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