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Individual

LAUREN RANDALL JACKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-MHSP (TEMP)

Contact information

Practice address
5214 MARYLAND WAY, BRENTWOOD, TN 37027-5034
(615) 510-3797
Mailing address
5214 MARYLAND WAY, BRENTWOOD, TN 37027-5034
(615) 510-3797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5042
TN

Other

Enumeration date
07/30/2021
Last updated
07/30/2021
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