Individual provider · Type 1 NPI

Matthew Tyler Jernigan

Counselor · Selmer, TN

NPI number 1174669287 Active

Practice location

641 E Poplar Ave
Selmer, TN 38375-1828

Fax (731) 645-9885

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174669287

Matthew Tyler Jernigan's National Provider Identifier is 1174669287, issued on Jan 29, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Selmer, TN. The record was last updated on Jul 8, 2007.