Individual
THERESA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 EXECUTIVE PARK DR, HENDERSONVILLE, TN 37075-3478
(615) 265-8584
Mailing address
35 EXECUTIVE PARK DR, HENDERSONVILLE, TN 37075-3478
(615) 265-8584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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