| Antoskow Counseling Llc | |
|
818 1/2 B South Main St Columbia TN 38401 | |
| (615) 573-3837 | |
| Not Available |
| Full Name | Antoskow Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 818 1/2 B South Main St, Columbia, Tennessee |
| Authorized Official Name and Position | Brandon Timothy Antoskow (OWNER) |
| Authorized Official Contact | 6155733837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antoskow Counseling Llc 3258 Mecklenburg Dr Columbia TN 38401-5938 Ph: (615) 573-3837 | Antoskow Counseling Llc 818 1/2 B South Main St Columbia TN 38401 Ph: (615) 573-3837 |
| NPI Number | 1588317903 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588317903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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