Individual provider · Type 1 NPI

Roger Todd Dewilde, M.ED. LPC-MHSP(TEMP)

Mental Health Counselor · Gallatin, TN

NPI number 1871019034 Active

Practice location

332 Sumner Hall Dr
Gallatin, TN 37066-3129

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3695 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1871019034

Roger Todd Dewilde, M.ED. LPC-MHSP(TEMP)'s National Provider Identifier is 1871019034, issued on Aug 19, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gallatin, TN. The record was last updated on Aug 19, 2017.