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Individual

DEZERAE M. NASH-SPACEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
2400 CRESTMOOR RD, SUITE 210, NASHVILLE, TN 37215-2032
(615) 298-2329
(613) 298-1248
Mailing address
305 POPLAR HILL CT, NASHVILLE, TN 37214-4279
(615) 319-0069

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2112
TN
101YP2500X
Professional Counselor
2112
TN

Other

Enumeration date
03/10/2009
Last updated
03/10/2009
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