Organization
GARY OSBORNE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY W OSBORNE LPC/MHSP (OWNER/PROVIDER)
(731) 618-0266
Entity
Organization
Contact information
Practice address
113 ROLLING OAKS DR, HUMBOLDT, TN 38343-8650
(731) 618-0266
Mailing address
113 ROLLING OAKS DR, HUMBOLDT, TN 38343-8650
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600078369
MAGELLAN HEALTH SERVICES
TN
Enumeration date
05/21/2008
Last updated
05/21/2008
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