person
Mr. Jody Dean Farra, MALPELPC
Mental Health Counselor in Bristol, Tennessee
NPI 1285641340

Jody Dean Farra is a Mental Health Counselor based in Kingsport, TN and is specialized in Mental Health. Jody Dean Farra practices in Bristol, TN and has the professional credentials of MALPELPC. The NPI Number for Jody Dean Farra is 1285641340 and holds a License No. PE000531 (Tennessee).

The current practice location address for Jody Dean Farra is 6 Sixth St, Bristol, TN and can be reached out via phone at 423-968-2225 and via fax at 423-968-2225. You can also correspond with Jody Dean Farra through the mailing address at 1242 HIGHRIDGE DRIVE, KINGSPORT, TN - 37664 (mailing address contact number: 423-323-9289).

Location: 6 Sixth St, Bristol, TN, 37664
person
Provider Profile Details
NPI Number
1285641340
Provider Name
Jody Dean Farra
Credential
MALPELPC
Provider Entity Type
Individual
Gender
Male
Address
6 Sixth St, Bristol, TN, 37664
Phone Number
423-968-2225
Fax Number
423-968-2225
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TPIN 13037341 01 FED GOVT TRADE PARTNER ID
institution
Provider Business Practice Location Address Details
Address
6 Sixth St
City
State
Zip
37620
Phone Number
423-968-2225
Fax Number
423-968-2225
person
Provider Business Mailing Address Details
Address
6 Sixth St
City
State
Zip
37620
Phone Number
423-968-2225
Fax Number
423-968-2225
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
PE000531 (Tennessee)
Definition
Definition to come...
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