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Organization

BLUE RIDER EXPRESSIVE THERAPY PLLC

Active
Parent organization
BLUE RIDER EXPRESSIVE THERAPY LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLUE RIDER EXPRESSIVE THERAPY LLC
Authorized official
MS. JENNIFER WATTS WATTS (OWNER)
(517) 215-6766
Entity
Organization

Contact information

Practice address
2528 DWIGHT COCHRAN RD, DUCK RIVER, TN 38454-3434
(517) 215-6766
(517) 215-6766
Mailing address
2528 DWIGHT COCHRAN RD, DUCK RIVER, TN 38454-3434
(517) 215-6766
(517) 215-6766

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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