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Individual

JESSICA BLACKWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP (TEMP)

Contact information

Practice address
2002 EASTLAND AVE # 101, NASHVILLE, TN 37206-1705
(615) 200-6575
Mailing address
2002 EASTLAND AVE # 101, NASHVILLE, TN 37206-1705
(615) 200-6575

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6700
TN

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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