Individual
KRISTI QUATTROCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
1820 MEMORIAL DR STE 203, CLARKSVILLE, TN 37043-4693
(859) 699-1963
Mailing address
1311 SONJA DR, CLARKSVILLE, TN 37042-6727
(402) 499-6219
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2887
NE
101YM0800X
Mental Health Counselor
5691
NE
1041C0700X
Clinical Social Worker
2049
NE
1041C0700X
Clinical Social Worker
256383
KY
1041C0700X
Clinical Social Worker
Primary
8011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10027607100
—
NE
Enumeration date
01/16/2018
Last updated
12/20/2022
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