Individual provider · Type 1 NPI

John Gannaway

Mental Health Counselor · Jackson, TN

NPI number 1134588437 Active

Practice location

238 Summar Dr
Jackson, TN 38301-3906

Fax (731) 660-8739

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1134588437

John Gannaway's National Provider Identifier is 1134588437, issued on Feb 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Feb 15, 2016.