Individual
JESSICA LEANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
210 25TH AVE N, NASHVILLE, TN 37203-1606
(615) 933-8772
Mailing address
172 BROOKRIDGE TRL # 172, NASHVILLE, TN 37211-4779
(270) 366-9363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4353
TN
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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