Individual
JEANNETTE DIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2911 12TH AVE S, NASHVILLE, TN 37204-2544
(815) 541-4663
Mailing address
1803 BROADWAY APT 609, NASHVILLE, TN 37203-2767
(815) 541-4663
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149015626
IL
101YM0800X
Mental Health Counselor
LSW0000008568
TN
Other
Enumeration date
01/15/2009
Last updated
04/21/2023
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