Individual
JACOB DOUGLAS MCGLAMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
211 N CHURCH ST, MOUNTAIN CITY, TN 37683-1325
(423) 727-2640
Mailing address
1712 SCENIC DR, ELIZABETHTON, TN 37643-4835
(423) 963-0052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5209
TN
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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