Organization
SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA LOUISE MCCLURE MA.LCADC (ADMINISTRATO/ THERAPIST)
(173) 136-3533
Entity
Organization
Contact information
Practice address
275 OLD LATHAM RD, DRESDEN, TN 38225-1942
(731) 333-9442
Mailing address
120 E GROVE RD, GLEASON, TN 38229-7918
(173) 363-5334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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