Individual
XYZEIDRIA DAWSON-ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, LADAC II
Contact information
Practice address
900 GLENDALE LN, NASHVILLE, TN 37204-4230
(615) 414-0075
Mailing address
301 EZELL PIKE UNIT 17582, NASHVILLE, TN 37217-3061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1529
TN
101YP2500X
Professional Counselor
Primary
5782
TN
Other
Enumeration date
09/05/2012
Last updated
02/15/2024
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