Individual
JASON SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
408 HIGHWAY 76, WHITE HOUSE, TN 37188-9201
(270) 535-1209
Mailing address
101 GARLAND CT, WHITE HOUSE, TN 37188-5400
(270) 535-1209
(270) 842-5268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
262441
KY
101YP2500X
Professional Counselor
Primary
276398
KY
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
02/13/2020
Last updated
06/01/2022
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