Mr Jody Dean Farra, MA LPE LPC | |
6 Sixth St, Central Building Suite 205, Bristol, TN 37620 | |
(423) 968-2225 | |
(423) 968-2225 |
Full Name | Mr Jody Dean Farra |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6 Sixth St, Bristol, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285641340 | NPI | - | NPPES |
TPIN 13037341 | Other | FED GOVT TRADE PARTNER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PE000531 (Tennessee) | Secondary |
101YM0800X | Counselor - Mental Health | LPC000282 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Jody Dean Farra, MA LPE LPC 1242 Highridge Drive, Kingsport, TN 37664 Ph: (423) 323-9289 | Mr Jody Dean Farra, MA LPE LPC 6 Sixth St, Central Building Suite 205, Bristol, TN 37620 Ph: (423) 968-2225 |
Ms. Amanda Michelle Keener, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 5th St Ste 310, Bristol, TN 37620 Phone: 833-928-1484 | |
Mrs. Amy Lynn Greene, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4582 | |
Miss Katherine Ellen Debusk, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristor Regional Counseling Center, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-989-4568 | |
Dr. Marie Eileen Crawford, PHD Counselor Medicare: May Accept Medicare Assignments Practice Location: 739 Bluff City Hwy, Suite 5, Bristol, TN 37620 Phone: 423-217-1097 Fax: 423-217-1069 | |
Ms. Erin Jaclyn Rall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway, Bristol, TN 37620 Phone: 423-989-4558 | |
Denise Miller, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-467-3644 | |
Bridgette Samantha Walker, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Midway St, Bristol, TN 37620 Phone: 423-989-4500 Fax: 423-467-3644 |