Individual
JESSALYN MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
6421 RABBIT CREEK RD, BUCHANAN, TN 38222-4003
(731) 441-1867
Mailing address
6421 RABBIT CREEK RD, BUCHANAN, TN 38222-4003
(731) 441-1867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
11247
TN
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
01/04/2024
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