Individual
SUSAN LYNN HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
256 SEABOARD LN, BLDG. E, SUITE 102, FRANKLIN, TN 37067-2875
(615) 838-8539
Mailing address
256 SEABOARD LN, BLDG. E, SUITE 102, FRANKLIN, TN 37067-2875
(615) 838-8539
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3376955
GROUP MEDICARE
TN
Enumeration date
08/08/2007
Last updated
03/29/2011
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