Individual
KRISTOPHER GARRETTE DEBORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LADAC II
Contact information
Practice address
306 42ND AVE N, NASHVILLE, TN 37209-3602
(931) 212-0180
Mailing address
512 OLD HICKORY BLVD APT 2607, NASHVILLE, TN 37209-6109
(931) 212-0180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1331
TN
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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