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Individual

MR. JEFFERY SCOTT HERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, SPE, MA

Contact information

Practice address
831 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 520-4418
(866) 662-9843
Mailing address
831 W JACKSON ST, COOKEVILLE, TN 38501-5940
(931) 520-4418
(866) 662-9843

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC790
TN
103TH0100X
Health Service Psychologist
Primary
PE1585
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5441689
TN
Enumeration date
03/14/2007
Last updated
02/22/2012
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