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Individual

MR. COURTNEY CHARLES CALKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
616 RIDGECREST LN, LEBANON, TN 37087-1384
(530) 624-9693
Mailing address
616 RIDGECREST LN, LEBANON, TN 37087-1384
(530) 624-9693

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMT0000001845
TN
106H00000X
Marriage & Family Therapist
MFC 42004
CA

Other

Enumeration date
07/11/2006
Last updated
06/29/2022
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