Individual
GORDON NATHAN SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
(423) 756-2899
Mailing address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
(423) 756-2899
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMT-1503
STATE LICENSE
TN
Enumeration date
07/23/2018
Last updated
07/23/2018
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