Individual
MRS. MARY ANN TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MHSP, CEAP
Contact information
Practice address
25 SECURITY DR, JACKSON, TN 38305-3626
(731) 668-1123
Mailing address
433 SANDERS BLUFF RD, THREE WAY, TN 38343-8545
(731) 784-1710
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1480
TN
Other
Enumeration date
07/22/2006
Last updated
07/08/2007
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