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Individual

SAMANTHA CATHERINE BERETTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC-MHSP

Contact information

Practice address
1710 17TH AVE S, NASHVILLE, TN 37212
(615) 690-4510
Mailing address
232 DOWNEYMEADE DR, NASHVILLE, TN 37214-2333

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00004360
TN
101YM0800X
Mental Health Counselor
Primary
0000004360
TN

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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