Individual
JEFFREY LANE DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1324 HAZELWOOD DR, SMYRNA, TN 37167-3922
(270) 584-3565
Mailing address
1324 HAZELWOOD DR, SMYRNA, TN 37167-3922
(270) 584-3565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
104179
KY
101YP2500X
Professional Counselor
Primary
3528
TN
Other
Enumeration date
07/28/2017
Last updated
07/12/2024
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