Individual
LYNN MANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 21ST AVE S, NASHVILLE, TN 37212-5315
(615) 986-8545
(615) 986-8545
Mailing address
21 VAUGHNS GAP RD APT 125, NASHVILLE, TN 37205-4308
(615) 986-8545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LDC0000001010
MA
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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