Provider Demographics
NPI:1447622824
Name:MCCOMB, YUNICE
Entity type:Individual
Prefix:MS
First Name:YUNICE
Middle Name:
Last Name:MCCOMB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YUNICE
Other - Middle Name:
Other - Last Name:MCCOMB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:2305 RIVERCHASE BLVD APT BLDG23
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2059
Mailing Address - Country:US
Mailing Address - Phone:615-397-5282
Mailing Address - Fax:
Practice Address - Street 1:1820 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-6326
Practice Address - Country:US
Practice Address - Phone:931-337-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TN7211101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional