Individual
JONATHAN DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2021 21ST AVE S, NASHVILLE, TN 37212-4342
(615) 988-5148
Mailing address
600 SHADY LN, NASHVILLE, TN 37206-1838
(615) 423-4490
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1421
TN
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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