Individual
MR. FOLUSHO MICAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
103 CONTINENTAL PL, BRENTWOOD, TN 37027-1041
(615) 596-2023
Mailing address
PO BOX 331183, NASHVILLE, TN 37203-7511
(615) 596-2023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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