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Individual

MR. CHARLES ALBERT BELLEFANT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A, LMFT

Contact information

Practice address
438 E VANN RD STE 300, GREENEVILLE, TN 37743-7202
(423) 787-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
651
TN

Other

Enumeration date
11/29/2007
Last updated
01/05/2024
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