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Individual

PERRY B PRATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
174 MURRAY GUARD DR, SUITE B, JACKSON, TN 38305-3742
(731) 660-0199
(731) 660-3650
Mailing address
174 MURRAY GUARD DR, SUITE B, JACKSON, TN 38305-3742
(731) 660-0199
(731) 660-3650

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000000813
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
403-7962
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/19/2007
Last updated
05/12/2010
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