Individual
MACY G FOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PARK DR, NASHVILLE, TN 37204-3956
(615) 966-1781
Mailing address
1703 WARFIELD DR, NASHVILLE, TN 37215-3528
(501) 827-0242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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