Individual provider · Type 1 NPI

Matthew Jae Donnelly

Mental Health Counselor · Jackson, TN

NPI number 1972354199 Active

Practice location

384 Carriage House Dr
Jackson, TN 38305-2268

Call (731) 868-7297 Map

Mailing address

2442 Mooresville Pike
Culleoka, TN 38451-2159

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2459 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1972354199

Matthew Jae Donnelly's National Provider Identifier is 1972354199, issued on Mar 27, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, TN. The record was last updated on Mar 27, 2024.