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Individual

NICKS HASLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
352 LANTANA RD, CROSSVILLE, TN 38555-4900
(931) 707-8200
Mailing address
168 PARK ST APT 202, CROSSVILLE, TN 38555-4414
(615) 598-0567

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6880
TN

Other

Enumeration date
04/11/2024
Last updated
04/11/2024
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