Individual
ZACK SAMPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3602 SPERRY AVE, NASHVILLE, TN 37215-1036
(615) 512-2789
Mailing address
3602 SPERRY AVE, NASHVILLE, TN 37215-1036
(615) 512-2789
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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