Roger Todd Dewilde, M.ED. LPC-MHSP(TEMP)

NPI #1871019034 in Gallatin, Tennessee

Provider Information

NPI Number: 1871019034
Entity Type: Individual
Name: Roger Todd Dewilde, M.ED. LPC-MHSP(TEMP)
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: M.ED. LPC-MHSP(TEMP)
Enumeration Date: Aug 19, 2017
Last Updated: Aug 19, 2017

Practice Location

Address: 332 SUMNER HALL DR
City: Gallatin
State: Tennessee
ZIP Code: 37066-3129
Phone: (615) 460-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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