Individual
STEPHEN LEE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5409 MARYLAND WAY STE 305, BRENTWOOD, TN 37027-1035
(615) 293-3780
Mailing address
5409 MARYLAND WAY STE 305, BRENTWOOD, TN 37027-1035
(615) 293-3780
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1160
TN
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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