Individual
SAMUEL NEKVASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 LAMONT ST, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
119 SPIDER BARNES RD, JONESBOROUGH, TN 37659-6334
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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