Individual
STEPHANIE D. BLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC-II
Contact information
Practice address
211 DONELSON PIKE STE 108, NASHVILLE, TN 37214-2929
(407) 491-0883
Mailing address
824 RUSSLEO DR, NASHVILLE, TN 37209-4430
(407) 491-0883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1305
TN
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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