Individual
JACOB DIDDENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
210 25TH AVE N STE 601, NASHVILLE, TN 37203-1631
(815) 541-1741
Mailing address
1803 BROADWAY APT 128, NASHVILLE, TN 37203-2778
(815) 541-1741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LSW0000014921
TN
Other
Enumeration date
06/19/2024
Last updated
08/23/2024
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