Individual
REBECCA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
575 S ROYAL ST STE 24, JACKSON, TN 38301-7307
(731) 215-0502
(731) 345-4086
Mailing address
575 S ROYAL ST STE 24, JACKSON, TN 38301-7307
(731) 215-0502
(731) 345-4086
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047391
—
TN
Enumeration date
12/19/2018
Last updated
11/07/2019
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