Individual
MR. LEON BLAKE BELLAMY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(423) 302-9132
Mailing address
620 GALLATIN PIKE S, MADISON, TN 37115-4013
(423) 302-9132
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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