Individual
CARLA BANCROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
209 HENSLEE DRIVE, DICKSON, TN 37055-1914
(615) 446-7650
(615) 446-7715
Mailing address
135 BAGGETT LN, DICKSON, TN 37055-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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