Individual provider · Type 1 NPI
George Glen Massengill, LADAC
Addiction (Substance Use Disorder) Counselor · Jacksboro, TN
NPI number
1033447263
Active
Practice location
188 Indian Mound Cir
Jacksboro, TN 37757-2100
Fax (423) 566-2948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 580 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1033447263
George Glen Massengill, LADAC's National Provider Identifier is 1033447263, issued on Nov 30, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jacksboro, TN. The record was last updated on Nov 30, 2009.