Individual
JACQUELINE BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 DR. MARTIN LUTHER KING DR., MEMPHIS, TN 38104
(901) 527-7774
Mailing address
315 DR MARTIN LUTHER KING DR, MEMPHIS, TN 38104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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