James Lewis Proffitt, | |
2823 Airways Blvd, Jackson, TN 38301-5611 | |
(731) 293-9946 | |
Not Available |
Full Name | James Lewis Proffitt |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 2823 Airways Blvd, Jackson, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356442636 | NPI | - | NPPES |
5441164 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1618 (Tennessee) | Secondary |
101Y00000X | Counselor | PE1618 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
James Lewis Proffitt, 2823 Airways Blvd, Jackson, TN 38301-5611 Ph: (731) 293-9946 | James Lewis Proffitt, 2823 Airways Blvd, Jackson, TN 38301-5611 Ph: (731) 293-9946 |
News Archive
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