Individual
JACQUELINE RAE CARLISLE-BERKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
130 HILLCREST DR, SUITE 204, CLARKSVILLE, TN 37043-5064
(931) 494-6803
Mailing address
130 HILLCREST DR, SUITE 204, CLARKSVILLE, TN 37043-5064
(931) 494-6803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3208
TN
Other
Enumeration date
08/18/2009
Last updated
02/16/2017
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