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Individual

JUANITA EILEEN GAMACHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6022 ROBERTSON AVE, NASHVILLE, TN 37209-1263
(615) 319-7570
(615) 354-6594
Mailing address
6022 ROBERTSON AVE, NASHVILLE, TN 37209-1263
(615) 319-7570
(615) 354-6594

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1813
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1505416
TN
Enumeration date
11/12/2007
Last updated
08/11/2008
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