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Matthew Jae Donnelly
Mental Health Counselor in Jackson, Tennessee
NPI 1972354199

Matthew Jae Donnelly is a Mental Health Counselor based in Culleoka, TN and is specialized in Mental Health. Matthew Jae Donnelly practices in Jackson, TN. The NPI Number for Matthew Jae Donnelly is 1972354199 and holds a License No. 2459 (Tennessee).

The current practice location address for Matthew Jae Donnelly is 384 Carriage House Dr, Jackson, TN and can be reached out via phone at 731-868-7297.

Location: 384 Carriage House Dr, Jackson, TN, 38451-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972354199
Provider Name
Matthew Jae Donnelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
384 Carriage House Dr, Jackson, TN, 38451-2159
Phone Number
731-868-7297
Fax Number
Provider Enumeration Date
03/27/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
384 Carriage House Dr
City
Jackson
State
Tennessee
Zip
38305-2268
Phone Number
731-868-7297
Fax Number
person
Provider Business Mailing Address Details
Address
384 Carriage House Dr
City
Jackson
State
Tennessee
Zip
38305-2268
Phone Number
731-868-7297
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2459 (Tennessee)
Definition
Definition to come...
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