ANTHONY JEROME VERNON

CLEVELAND, TN
NPI1740936939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-02-25
Last Update Date2022-02-25
Business Address
ANTHONY JEROME VERNON M. A.
3575 KEITH ST NW
CLEVELAND, TN 37312-4324
Phone number: 423-458-6660
Mailing Address
ANTHONY JEROME VERNON M. A.
3575 KEITH ST NW
CLEVELAND, TN 37312-4324
Phone number: 423-458-6660
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