Provider Demographics
NPI:1558552000
Name:DILLEHAY, JENNIFER (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:DILLEHAY
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MCKENZIE LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-4101
Mailing Address - Country:US
Mailing Address - Phone:931-242-5506
Mailing Address - Fax:
Practice Address - Street 1:142 MCKENZIE LN
Practice Address - Street 2:
Practice Address - City:SUMMERTOWN
Practice Address - State:TN
Practice Address - Zip Code:38483-4101
Practice Address - Country:US
Practice Address - Phone:931-242-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor