Individual
MARK DIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2000 GLEN ECHO RD STE 200, NASHVILLE, TN 37215-2898
(615) 649-8656
Mailing address
1803 BROADWAY APT 609, NASHVILLE, TN 37203-2767
(815) 541-1741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14623
TN
101YM0800X
Mental Health Counselor
Primary
150.110236
IL
Other
Enumeration date
01/25/2023
Last updated
06/10/2023
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