Individual
ERIC J BAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3641 YOUTH TOWN RD, PINSON, TN 38366-9804
(731) 988-5251
Mailing address
3641 YOUTH TOWN RD, PINSON, TN 38366-9804
(731) 988-5251
(731) 427-5605
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013645
—
TN
Enumeration date
04/04/2007
Last updated
10/06/2020
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