Individual
RAQUEL JACKSON SHUTZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
311 W DIVISION ST, MOUNT JULIET, TN 37122-3207
(601) 297-3132
Mailing address
6001 OLD HICKORY BLVD, HERMITAGE, TN 37076
(601) 297-3132
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2559
TN
Other
Enumeration date
02/02/2010
Last updated
02/25/2016
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