Individual
ERIC BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5205 MARYLAND WAY STE 310, BRENTWOOD, TN 37027-1006
(615) 601-0454
Mailing address
PO BOX 1088, NOLENSVILLE, TN 37135-1088
(615) 601-0454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4533
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4533
LICENSED PROFESSIONAL COUNSELOR
TN
Enumeration date
03/27/2019
Last updated
03/27/2019
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