| Doctor Name: | JONATHAN WESLEY POPE |
| NPI Number: | 1295080919 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 472 Hawkins Cove Rd Cowan, TN - 373183715 |
| Business Phone Number: | 9316913083 |
| Business Fax Number: | |
| Mailing Address: | 472 Hawkins Cove Rd, COWAN |
| State: | TN |
| Postal Code: | 373183715 |
| Phone Number: | 9316913083 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 07/18/2012 |
| 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: | |