Individual
JEREMY BROOKS MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
120 TWO MILE PIKE, GOODLETTSVILLE, TN 37072-1832
(615) 239-1404
(615) 900-2716
Mailing address
4813 CAPE HOPE PASS, HERMITAGE, TN 37076-3669
(615) 440-8716
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW12970
TN
Other
Enumeration date
02/27/2021
Last updated
11/24/2025
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