Individual
DR. GARY WAYNE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, MHSP
Contact information
Practice address
1629 E MAIN ST, HUMBOLDT, TN 38343
(731) 618-0266
(731) 824-5398
Mailing address
113 ROLLING OAKS DR, HUMBOLDT, TN 38343-8586
(731) 618-0055
(731) 824-5398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC583
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229202000
MAGELLAN HEALTH SERVICES
—
01
—
3102484
BCBS
TN
01
—
7017081
AETNA
—
Enumeration date
10/03/2006
Last updated
11/20/2024
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