Individual
MR. JIMMY D DACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1186 HWY 45 BYPASS STE D, JACKSON, TN 38301-3256
(731) 215-0502
(731) 345-4086
Mailing address
1186 HWY 45 BYPASS STE D, JACKSON, TN 38301-3256
(731) 215-0502
(731) 345-4086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2002012996
MO
101YP2500X
Professional Counselor
Primary
5954
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q074026
—
TN
Enumeration date
04/25/2006
Last updated
07/28/2022
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