Mr. George Glen Massengill, LADAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033447263

Mr. George Glen Massengill, LADAC is an Addiction (Substance Use Disorder) Counselor in Jacksboro, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in: TN
In the registry since: 2009

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Practice location Address checks out

188 Indian Mound Cir
Jacksboro, TN 37757-2100
Phone: (423) 566-2437
Fax: (423) 566-2948

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence 580 (TN)

Record details

NPI number	1033447263
Entity type	Individual (Type 1)
Gender	Male
Credentials	LADAC
Sole proprietor	Yes
NPI enumerated	November 30, 2009
Last updated in NPPES	November 30, 2009