Individual
MR. JERRY THOMAS MOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6250 RINGGOLD RD, EAST RIDGE, TN 37412-3857
(423) 364-5853
Mailing address
5905 WELLWORTH AVE, EAST RIDGE, TN 37412-3647
(423) 364-5853
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004699
GA
Other
Enumeration date
03/25/2007
Last updated
02/05/2008
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