Individual
JEREMIAH JAMES SHELNUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
104 VILLAGE DR, GREENEVILLE, TN 37745-4257
(423) 278-4860
Mailing address
212 BIRD CIR, GREENEVILLE, TN 37743-4406
(423) 278-4860
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0000006618
TN
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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