Tendra Statom, M.ED., LPC, NCC

NPI #1396330536 in Augusta, Georgia

Provider Information

NPI Number: 1396330536
Entity Type: Individual
Name: Tendra Statom, M.ED., LPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: M.ED., LPC, NCC
Enumeration Date: Mar 9, 2021
Last Updated: Jun 6, 2022

Practice Location

Address: 3170 SKINNER MILL RD APT A6
City: Augusta
State: Georgia
ZIP Code: 30909-5030
Phone: (706) 319-7144

Specialties & Taxonomy Codes

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

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