Individual
NICOLE BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(615) 948-9480
Mailing address
1820 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(615) 948-9480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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