Individual
EDINA KISHONTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1604 WESTGATE CIR, BRENTWOOD, TN 37027-1300
(615) 745-1585
Mailing address
445 SAVANNAH WAY, FRANKLIN, TN 37067-2630
(310) 200-9739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1588
TN
106H00000X
Marriage & Family Therapist
48260
CA
Other
Enumeration date
03/08/2007
Last updated
10/22/2019
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