Individual
MR. JOHN D MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMFT
Contact information
Practice address
3225 GOLD DUST DR, PIGEON FORGE, TN 37863
(865) 429-2375
(865) 774-7877
Mailing address
3225 GOLD DUST DR, PIGEON FORGE, TN 37863
(865) 429-2375
(865) 774-7877
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000000240
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4041685
MAGELLAN HEALTH SERVICES
TN
Enumeration date
04/11/2007
Last updated
07/08/2007
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