person
Roger Todd Dewilde, MEDLPC-MHSP(TEMP)
Mental Health Counselor in Gallatin, Tennessee
NPI 1871019034

Roger Todd Dewilde is a Mental Health Counselor based in Gallatin, TN and is specialized in Mental Health. Roger Todd Dewilde practices in Gallatin, TN and has the professional credentials of MEDLPC-MHSP(TEMP). The NPI Number for Roger Todd Dewilde is 1871019034 and holds a License No. 3695 (Tennessee).

The current practice location address for Roger Todd Dewilde is 332 Sumner Hall Dr, Gallatin, TN and can be reached out via phone at 615-460-4500.

Location: 332 Sumner Hall Dr, Gallatin, TN, 37066-3129
person
Provider Profile Details
NPI Number
1871019034
Provider Name
Roger Todd Dewilde
Credential
MEDLPC-MHSP(TEMP)
Provider Entity Type
Individual
Gender
Male
Address
332 Sumner Hall Dr, Gallatin, TN, 37066-3129
Phone Number
615-460-4500
Fax Number
Provider Enumeration Date
08/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
332 Sumner Hall Dr
City
State
Zip
37066-3129
Phone Number
615-460-4500
Fax Number
person
Provider Business Mailing Address Details
Address
332 Sumner Hall Dr
City
State
Zip
37066-3129
Phone Number
615-460-4500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3695 (Tennessee)
Definition
Definition to come...
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