Individual
JERMECKIA SANDEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
223 DUNBAR CAVE RD, CLARKSVILLE, TN 37043-8830
(931) 209-1673
Mailing address
223 DUNBAR CAVE SUITE A, CLARKSVILLE, TN 37044-1133
(615) 657-4025
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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