GAVIC JAACOB CHANDLER

CLARKSVILLE, TN
NPI1366570749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00029571)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
Mr. GAVIC JAACOB CHANDLER M.A.
810 GREENWOOD AVE
CLARKSVILLE, TN 37040-4068
Phone number: 931-206-7257
Mailing Address
Mr. GAVIC JAACOB CHANDLER M.A.
PO BOX 6
CLARKSVILLE, TN 37041-0006
Phone number: 931-206-7356