Individual
JARED S. FUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCMHSP
Contact information
Practice address
104 JOHN SEVIER AVE, JONESBOROUGH, TN 37659-1402
(921) 284-8152
Mailing address
104 JOHN SEVIER AVE, JONESBOROUGH, TN 37659-1402
(921) 284-8152
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000004216
TN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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