TERRY L WINBUSH

JACKSON, TN
NPI1104860204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN  0347)
Enumeration Date2006-06-16
Last Update Date2009-08-21
Business Address
-- TERRY L WINBUSH LDC
238 SUMMAR DR
JACKSON, TN 38301-3906
Phone number: 731-935-8200
Mailing Address
-- TERRY L WINBUSH LDC
1804 HIGHWAY 45 BYPASS SUITE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8755
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