Individual
MR. JESSE RALPH CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
2855 SINAI DR, MASON, TN 38049-7627
(901) 496-7476
(901) 416-9939
Mailing address
2855 SINAI DR, MASON, TN 38049-7627
(901) 496-7476
(901) 416-9939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001485
TN
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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