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

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2247 (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.