person
Mr. Mike Palk, LPC
Professional Counselor in Cookeville, Tennessee
NPI 1083784516

Mike Palk is a Professional Counselor based in Cookeville, TN and is specialized in Professional. Mike Palk practices in Cookeville, TN and has the professional credentials of LPC. The NPI Number for Mike Palk is 1083784516 and holds a License No. 0000001444 (Tennessee).

The current practice location address for Mike Palk is 377 Short St, Cookeville, TN and can be reached out via phone at 931-528-6167 and via fax at 931-526-9300.

Location: 377 Short St, Cookeville, TN, 38502-2916
person
Provider Profile Details
NPI Number
1083784516
Provider Name
Mike Palk
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
377 Short St, Cookeville, TN, 38502-2916
Phone Number
931-528-6167
Fax Number
931-526-9300
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3148479 01 TN TN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
377 Short St
City
State
Zip
38501-7119
Phone Number
931-528-6167
Fax Number
931-526-9300
person
Provider Business Mailing Address Details
Address
377 Short St
City
State
Zip
38501-7119
Phone Number
931-528-6167
Fax Number
931-526-9300
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0000001444 (Tennessee)
Definition
Definition to come...
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