Individual
ALICE JUSTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, LPC
Contact information
Practice address
1118 BROOKMEADE DR, NASHVILLE, TN 37204-4105
(615) 420-0513
Mailing address
1118 BROOKMEADE DR, NASHVILLE, TN 37204-4105
(615) 420-0513
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3171
TN
133V00000X
Registered Dietitian
Primary
0000000042
TN
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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