Individual
DIANE PATRICE GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
745 S CHURCH ST STE 805, MURFREESBORO, TN 37130-4983
(615) 556-8406
(615) 713-3024
Mailing address
PO BOX 11865, MURFREESBORO, TN 37129-0038
(615) 730-2118
(615) 713-3024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4895
TN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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