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Peggy Cantrell
NPI 1417154410 · on the registry since 2007 · sole proprietor
Practice
- Address
- 807 University Pkwy
Etsu Campus
Johnson City, TN 37614 - Phone
- (423) 439-7777
- Fax
- (423) 439-5695
- Organisation at this address
- Etsu Behavioral Health And Wellness Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TA0700X
103TC0700X - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-11-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee