Individual
JEROME TIMOTHY VILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 8TH ST, CLARKSVILLE, TN 37040-3093
(931) 920-7263
(931) 920-7202
Mailing address
1014 CHRISTOPHER LN, ASHLAND CITY, TN 37015-2823
(615) 792-2836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6865
TN
101YM0800X
Mental Health Counselor
Primary
—
—
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
03/01/2007
Last updated
04/17/2019
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