Individual
TIMOTHY TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1714 MONROE AVE, MEMPHIS, TN 38104-3924
(901) 472-9867
Mailing address
1714 MONROE AVE STE 1, MEMPHIS, TN 38104-3924
(901) 472-9867
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4375
TN
Other
Enumeration date
09/22/2018
Last updated
09/25/2019
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