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Individual

JOHNNY SHEALY DELOACHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP

Contact information

Practice address
2201 MURPHY AVE, STE. 310, NASHVILLE, TN 37203-1835
(615) 301-7000
(615) 301-7001
Mailing address
2201 MURPHY AVE, STE. 310, NASHVILLE, TN 37203-1835
(615) 301-7000
(615) 301-7001

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2247
TN

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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