Gossett-Divine, Claudia Lilian

Gossett-Divine, Claudia Lilian is an sole proprietor health care provider with primary practice located at 25 Security Dr , Jackson TN 38305-3754. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gossett-Divine, Claudia Lilian can be contacted via phone (731) 668-1271.

Contact Information

Primary practice address
25 Security Dr Jackson TN 38305-3754
Phone: (731) 668-1271
Fax: (731) 424-4385
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0000000175 Tennessee
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0000001758 Tennessee

Profile Details

NPI number 1366693483
LBN Legal business name Gossett-Divine, Claudia Lilian
Credentials LPC/MHSP.,LADAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2008
Last updated Oct 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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