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1518619451
CODY DEWAYNE YORK
COOKEVILLE, TN
NPI
1518619451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 5182)
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
CODY DEWAYNE YORK LPC-MHSP
8 S MADISON AVE
COOKEVILLE, TN 38501-3357
Phone number: 931-330-0514
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Mailing Address
CODY DEWAYNE YORK LPC-MHSP
599 OAKLEY ALLONS RD
ALLONS, TN 38541-6921
Phone number: 931-239-5608
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