Individual
MR. KEITH BAUGUS FUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 382-3888
Mailing address
2855 SUMMER OAKS DR, BARTLETT, TN 38134-3812
(901) 382-3888
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
457
TN
106H00000X
Marriage & Family Therapist
Primary
600
TN
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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