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Individual

DR. JENEL C CASSIDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
953 MAIN ST STE 110, NASHVILLE, TN 37206-3628
(615) 504-0976
Mailing address
625 SHADY LN, NASHVILLE, TN 37206-1837
(615) 504-0976

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2733
TN
103TB0200X
Cognitive & Behavioral Psychologist
Primary
103TC1900X
Counseling Psychologist

Other

Enumeration date
03/02/2007
Last updated
01/04/2016
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