SearchTennessee101YM0800X

Philip Nicholas, LPC-MHSP

NPI 1568069524 · on the registry since 2020 · sole proprietor

Practice

Address
19 Wood Duck Cv
Jackson, TN 38305
Phone
(731) 571-7500

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee