Provider Demographics
NPI:1760124838
Name:VERGESON, FRANKLIN D JR (LPC-MHSP)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:D
Last Name:VERGESON
Suffix:JR
Gender:M
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 1:1700 DENTON AVE
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-1412
Mailing Address - Country:US
Mailing Address - Phone:931-239-1294
Mailing Address - Fax:
Practice Address - Street 1:1700 DENTON AVE
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-1412
Practice Address - Country:US
Practice Address - Phone:931-239-1294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-10
Last Update Date:2022-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4973101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional