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1619628096
JEFFREY JAY WALLER
BRENTWOOD, TN
NPI
1619628096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-01-17
Last Update Date
2022-01-17
Business Address
Mr. JEFFREY JAY WALLER LPC-MHSP
9025 OVERLOOK BLVD STE 200
BRENTWOOD, TN 37027-2710
Phone number: 864-642-5004
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Mailing Address
Mr. JEFFREY JAY WALLER LPC-MHSP
500 ROLLING MILL HILL RD APT 306
NASHVILLE, TN 37210-2525
Phone number: 864-642-5004
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