Individual
GLENN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(931) 680-7576
(931) 536-4346
Mailing address
118 MAUPIN CIR, SHELBYVILLE, TN 37160-3781
(931) 680-7576
(931) 536-4346
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PE0000001718
TN
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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