Individual provider · Type 1 NPI

Claudia Lilian Gossett-Divine, LPC/MHSP., LADAC

Mental Health Counselor · Jackson, TN

NPI number 1366693483 Active

Practice location

25 Security Dr
Jackson, TN 38305-3754

Call (731) 668-1271 Map

Fax (731) 424-4385

Mailing address

550 Harts Bridge Rd
Jackson, TN 38301-9538

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0000000175 (TN)
Mental Health Counselor Primary 101YM0800X0000001758 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1366693483

Claudia Lilian Gossett-Divine, LPC/MHSP., LADAC's National Provider Identifier is 1366693483, issued on Oct 7, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Oct 7, 2008.