Doctor Name: | MISS JULIA DERRILLE FLANAGAN |
NPI Number: | 1013084110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC MHSP |
License Number: | 1977 |
Business Practice Address: | 1447 Vance Rd Suite 106 Chattanooga, TN - 374213665 |
Business Phone Number: | 4234994499 |
Business Fax Number: | 4234994499 |
Mailing Address: | Po Box 8545, CHATTANOOGA |
State: | TN |
Postal Code: | 374140545 |
Phone Number: | 4234994499 |
Fax Number: | 4234994499 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |