Individual
JUSTINE ELENNA BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HALL DR, SOMERVILLE, TN 38068-4585
(901) 487-5002
Mailing address
2250 HALL DR, SOMERVILLE, TN 38068-4585
(901) 487-5002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6499
TN
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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