JODY DEAN FARRA

BRISTOL, TN
NPI1285641340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: TN  LPC000282)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: TN  PE000531)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
MR. JODY DEAN FARRA MA LPE LPC
6 SIXTH ST CENTRAL BUILDING SUITE 205
BRISTOL, TN 37620
Phone number: 423-968-2225
Mailing Address
MR. JODY DEAN FARRA MA LPE LPC
1242 HIGHRIDGE DRIVE
KINGSPORT, TN 37664
Phone number: 423-323-9289