Individual
STEPHEN GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
150 2ND AVE N, SUITE 305, NASHVILLE, TN 37201-1934
(615) 330-0235
(615) 515-4889
Mailing address
150 2ND AVE N, SUITE 305, NASHVILLE, TN 37201-1934
(615) 330-0235
(615) 515-4889
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2323
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513301
—
TN
Enumeration date
06/04/2009
Last updated
07/06/2010
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