Individual
KELSEY WONDERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420B 37TH AVE N, NASHVILLE, TN 37209-3730
(305) 304-4826
Mailing address
420B 37TH AVE N, NASHVILLE, TN 37209-3730
(305) 304-4826
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5114
LPC-MHSP
TN
Enumeration date
07/14/2020
Last updated
08/28/2020
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