Individual
JUANITA WILCHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,MHSP
Contact information
Practice address
1719 KIRBY PKWY, MEMPHIS, TN 38120-4367
(901) 574-2850
Mailing address
3000 SHADOW GREEN LN, LAKELAND, TN 38002-7460
(901) 574-2850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001615
TN
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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