Individual
LANDON SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 TIMBER CREEK DR, CORDOVA, TN 38018-4233
(901) 566-1002
(901) 566-1951
Mailing address
58 TIMBER CREEK DR, CORDOVA, TN 38018-4233
(901) 566-1002
(901) 566-1951
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3058
TN
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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