Individual
MRS. HARRIET SHUNTA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4120
(615) 460-4202
Mailing address
2400 WHITE AVE, NASHVILLE, TN 37204-2235
(615) 460-4120
(615) 460-4202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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