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Individual

SAMUEL R. SCALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP

Contact information

Practice address
1916 PATTERSON ST STE 504, NASHVILLE, TN 37203-2181
(615) 285-9119
Mailing address
4546 ARTELIA DR, ANTIOCH, TN 37013-2721
(615) 500-8223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2443
TN
101YP2500X
Professional Counselor
002443
TN
101YP2500X
Professional Counselor
2443
TN

Other

Enumeration date
07/29/2014
Last updated
08/02/2019
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