| Bruce Theobald, M.a., Lpc | |
|
1107 Battlewood St Franklin TN 37069-6453 | |
| (615) 752-7625 | |
| Not Available |
| Full Name | Bruce Theobald, M.a., Lpc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1107 Battlewood St, Franklin, Tennessee |
| Authorized Official Name and Position | Bruce Theobald (OWNER) |
| Authorized Official Contact | 6157527625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Theobald, M.a., Lpc 1107 Battlewood St Franklin TN 37069-6453 Ph: (615) 752-7625 | Bruce Theobald, M.a., Lpc 1107 Battlewood St Franklin TN 37069-6453 Ph: (615) 752-7625 |
| NPI Number | 1245789791 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245789791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2248 (Tennessee) | Primary |
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