Individual
JUAN ANSON MERRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1601 23RD AVE S, 3RD FLOOR, NASHVILLE, TN 37212-3133
(615) 327-7009
Mailing address
16 BOB OAKLEY LN, BRUSH CREEK, TN 38547-2056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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