Individual
JEREMY ALAN SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1633 W MAIN ST, SUITE 901, LEBANON, TN 37087-3423
(615) 547-4994
(615) 547-4995
Mailing address
1633 W MAIN ST, SUITE 901, LEBANON, TN 37087-3423
(615) 547-4994
(615) 547-4995
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000002521
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516554
—
TN
Enumeration date
10/14/2009
Last updated
05/09/2013
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