Individual provider · Type 1 NPI
Johnny Shealy Deloache, LPC-MHSP
Professional Counselor · Nashville, TN
NPI number
1679721948
Active
Practice location
2201 Murphy Ave, Ste. 310
Nashville, TN 37203-1835
Fax (615) 301-7001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2247 (TN) |
Professional Counselor: Definition to come...
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About NPI 1679721948
Johnny Shealy Deloache, LPC-MHSP's National Provider Identifier is 1679721948, issued on Aug 28, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nashville, TN. The record was last updated on Aug 28, 2008.