Individual
RUSSELL ANDREW GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
(731) 927-7642
Mailing address
1804 HIGHWAY 45 BYP, SUITE 604, JACKSON, TN 38305-4436
(731) 512-1571
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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