Most Relevant Information
Provider Data
NPI Number: | 1003003245 |
Provider Name: | REBEKAH GOOD DOREAU M.A. |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/02/2007 |
Last Updated: | 01/03/2011 |
Provider Practice Location
6110 SHALLOWFORD RD
SUITE B
CHATTANOOGA
TN
374211894
Practice Location Phone/Fax
Phone: | 8882914357 |
Fax: | 4232966384 |
Provider Mailing Location
6110 SHALLOWFORD RD
SUITE B
CHATTANOOGA
TN
374211894
Provider Mailing Phone/Fax
Phone: | 8882914357 |
Fax: | 4232966384 |