| Doctor Name: | JERUSHA ANNE MCCUTCHEN |
| NPI Number: | 1114180551 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | |
| Business Practice Address: | 100 N Main St 1st Floor Dickson, TN - 370551889 |
| Business Phone Number: | 6157407100 |
| Business Fax Number: | 6157406959 |
| Mailing Address: | 100 N Main St, 1st Floor DICKSON |
| State: | TN |
| Postal Code: | 370551889 |
| Phone Number: | 6157407100 |
| Fax Number: | 6157406959 |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 04/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |