Individual
SALLIE EVADNA NICHELLE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
2612 BUCHANAN ST, NASHVILLE, TN 37208-1942
(615) 378-7075
Mailing address
PO BOX 330273, NASHVILLE, TN 37203-7502
(615) 378-7075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TN
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
TN
Other
Enumeration date
03/23/2021
Last updated
03/25/2021
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