Individual
MR. JAMES LANCE POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13421 US HIGHWAY 41, TRACY CITY, TN 37387-5247
(931) 636-4694
Mailing address
PO BOX 267, TRACY CITY, TN 37387-0267
(931) 636-4694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151213
TN
101YM0800X
Mental Health Counselor
151213
TN
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
151213
TN
Other
Enumeration date
09/26/2012
Last updated
12/06/2012
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