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Mr. Mark Baldwin, LPC-MHSP
Mental Health Counselor in Jackson, Tennessee
NPI 1407069321

Mark Baldwin is a Mental Health Counselor based in Jackson, TN and is specialized in Mental Health. Mark Baldwin practices in Jackson, TN and has the professional credentials of LPC-MHSP. The NPI Number for Mark Baldwin is 1407069321 and holds a License No. 1878 (Tennessee).

The current practice location address for Mark Baldwin is 575 S Royal St, Jackson, TN and can be reached out via phone at 731-467-0504.

Location: 575 S Royal St, Jackson, TN, 38305-3716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407069321
Provider Name
Mark Baldwin
Credential
LPC-MHSP
Provider Entity Type
Individual
Gender
Male
Address
575 S Royal St, Jackson, TN, 38305-3716
Phone Number
731-467-0504
Fax Number
Provider Enumeration Date
05/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1506474 05 TN
institution
Provider Business Practice Location Address Details
Address
575 S Royal St
City
Jackson
State
Tennessee
Zip
38301-7307
Phone Number
731-467-0504
Fax Number
person
Provider Business Mailing Address Details
Address
575 S Royal St
City
Jackson
State
Tennessee
Zip
38301-7307
Phone Number
731-467-0504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1878 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1878 (Tennessee)
Definition
Definition to come...
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