Individual
MR. JASON LEWIS RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 HOLSTON DR, GREENEVILLE, TN 37743-3126
(423) 638-4171
Mailing address
257 HILL TOP CIR, BLUFF CITY, TN 37618-1632
(423) 366-3177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013231
—
TN
01
—
3697678
MEDICARE
TN
Enumeration date
02/13/2007
Last updated
09/08/2008
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