Individual
MR. ROGER SCOTT UTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC (TEMP.)
Contact information
Practice address
1604 WESTGATE CIR, BRENTWOOD, TN 37027-1300
(731) 225-9684
Mailing address
1604 WESTGATE CIR, BRENTWOOD, TN 37027-1300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3794
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
622578151
HSPO
TN
Enumeration date
06/19/2017
Last updated
06/19/2017
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