Individual
DR. GREGORY LEE BOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
109 E LAFAYETTE ST, JACKSON, TN 38301-6203
(901) 930-7397
Mailing address
15 POPLAR PLAINS DR, JACKSON, TN 38305-8517
(254) 654-3245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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