Individual
JERMAINE SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1355 LYNNFIELD ROAD, STE. 270, MEMPHIS, TN 38119
(901) 568-6397
Mailing address
1355 LYNNFIELD ROAD, STE. 270, MEMPHIS, TN 38119
(901) 568-6397
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5134
TN
Other
Enumeration date
12/29/2020
Last updated
10/04/2021
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