Provider Demographics
NPI:1295769974
Name:GATSCHER, EVA MARIE (NBCC, LPC)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:MARIE
Last Name:GATSCHER
Suffix:
Gender:F
Credentials:NBCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 HAYNES ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-3639
Mailing Address - Country:US
Mailing Address - Phone:423-967-5579
Mailing Address - Fax:276-889-2639
Practice Address - Street 1:6 6TH ST
Practice Address - Street 2:SUITE 255
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2237
Practice Address - Country:US
Practice Address - Phone:423-967-5579
Practice Address - Fax:276-889-2639
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPC0000000985101YP2500X
VA0701003653101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional