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Kip Tracy Cole
Mental Health Counselor in Jackson, Tennessee
NPI 1144812686

Kip Tracy Cole is a Mental Health Counselor based in Jackson, TN and is specialized in Mental Health. Kip Tracy Cole practices in Jackson, TN. The NPI Number for Kip Tracy Cole is 1144812686 and holds a License No. (Tennessee).

The current practice location address for Kip Tracy Cole is 112 N Liberty St, Jackson, TN and can be reached out via phone at 731-736-4400.

Location: 112 N Liberty St, Jackson, TN, 38301-6200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144812686
Provider Name
Kip Tracy Cole
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 N Liberty St, Jackson, TN, 38301-6200
Phone Number
731-736-4400
Fax Number
Provider Enumeration Date
02/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 N Liberty St
City
Jackson
State
Tennessee
Zip
38301-6200
Phone Number
731-736-4400
Fax Number
person
Provider Business Mailing Address Details
Address
112 N Liberty St
City
Jackson
State
Tennessee
Zip
38301-6200
Phone Number
731-736-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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