Individual
CATHERINE MICHELLE NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
2305 MCVAY RD, GERMANTOWN, TN 38138-4823
(901) 825-8572
Mailing address
5589 HINTON AVE, MEMPHIS, TN 38119-7041
(901) 825-8572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0000004078
TN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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