Organization
BRUCE THEOBALD, M.A., LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE THEOBALD LPC (OWNER)
(615) 752-7625
Entity
Organization
Contact information
Practice address
1107 BATTLEWOOD ST, FRANKLIN, TN 37069-6453
(615) 752-7625
Mailing address
1107 BATTLEWOOD ST, FRANKLIN, TN 37069-6453
(615) 752-7625
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2248
TN
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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