Individual provider · Type 1 NPI

Jerald Tisdale, LPC-MHSP

Professional Counselor · Nashville, TN

NPI number 1679186944 Active

Practice location

1005 9th Ave S
Nashville, TN 37203-4729

Call (615) 636-1637 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X4947 (TN)

Professional Counselor: Definition to come...

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About NPI 1679186944

Jerald Tisdale, LPC-MHSP's National Provider Identifier is 1679186944, issued on Aug 26, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nashville, TN. The record was last updated on Aug 26, 2020.