Doctor Name: | JUANITA DARLENE TONEY |
NPI Number: | 1326272998 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, Q-SAP |
License Number: | LPC0000002430 |
Business Practice Address: | 747 Battlefield Pkwy Ste 1458 2b Ft Oglethorpe, GA - 307423923 |
Business Phone Number: | 4233222360 |
Business Fax Number: | 4238741993 |
Mailing Address: | 5818 N Park Rd, HIXSON |
State: | TN |
Postal Code: | 373434619 |
Phone Number: | 4238741993 |
Fax Number: | 4238741993 |
NPI Enumeration Date: | 05/11/2009 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC0000002430 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |