ADAM BLAKE MCCLOUD

JOHNSON CITY, TN
NPI1265083125
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TN  4653)
Enumeration Date2019-09-23
Last Update Date2020-08-27
Business Address
ADAM BLAKE MCCLOUD LPC-MHSP
609 HAMILTON ST
JOHNSON CITY, TN 37604-5403
Phone number: 423-863-0280
Mailing Address
ADAM BLAKE MCCLOUD LPC-MHSP
1362 OLD SNAPPS FERRY RD
CHUCKEY, TN 37641-4241
Phone number: 423-863-0280
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