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Gretchen Nickole Anderson

Counselor, School in Cookeville, TN. Individual provider (NPI-1).

NPI number1639723810
StatusActive
Last updated in NPPESJul 26, 2019

Details

NPI
1639723810
Entity type
Individual (NPI-1)
Name
Gretchen Nickole Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2019
Last updated
Jul 26, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YS0200X Counselor, School––Yes

Practice location

606 E Spring St
Cookeville, TN 38501-5066

Phone 931-303-0665

Mailing address

1015 Tanglewood Dr
Cookeville, TN 38501-4116

Phone 931-267-2769

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