Individual provider · Type 1 NPI
Ronald Surgeon, LCP-MHSP TEMP
Mental Health Counselor · Memphis, TN
NPI number
1508424078
Active
Practice location
240 Madison Ave
Memphis, TN 38103-2767
Mailing address
6363 Poplar Ave Ste 404
Memphis, TN 38119-4831
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508424078
Ronald Surgeon, LCP-MHSP TEMP's National Provider Identifier is 1508424078, issued on May 30, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Memphis, TN. The record was last updated on May 30, 2019.