Individual
JOHN BENTON HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN., LMFT
Contact information
Practice address
108 LANNOM CIR, TULLAHOMA, TN 37388-2434
(931) 563-7963
Mailing address
108 LANNOM CIR, TULLAHOMA, TN 37388-2434
(931) 563-7963
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
35000165A
IN
106H00000X
Marriage & Family Therapist
Primary
LMT0000001213
TN
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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