Tri-Cities Eating Disorder Therapy
NPI #1821654583 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1821654583
- Entity Type
- Organization
- Organization Name
- Tri-Cities Eating Disorder Therapy
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 17, 2019
- Last Updated
- May 17, 2019
Practice Location
- Address
- 2700 S ROAN ST STE 203
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37601-7557
- Phone
- (423) 708-6982
Authorized Official
- Name
- CATHALEEN BLAKE, LPC
- Title
- OWNER, THERAPIST
- Phone
- (423) 708-6982
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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