Individual
MRS. GINA F BOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
7015 CONCORD RD, BRENTWOOD, TN 37027-6606
(615) 625-2058
Mailing address
223 N HUME AVE, GALLATIN, TN 37066-2916
(580) 695-1261
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1836
TN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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