Individual
NATHAN JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3641 YOUTH TOWN RD, PINSON, TN 38366-9804
(731) 988-5251
(731) 427-5605
Mailing address
PO BOX 1385, JACKSON, TN 38302-1385
(731) 988-5251
(731) 427-5605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2832
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527990
—
TN
Enumeration date
08/19/2009
Last updated
10/08/2020
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