Individual
MICHELLE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212
(615) 873-7643
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001097A
IN
1041C0700X
Clinical Social Worker
Primary
34006936A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34006936A
CLINICAL SOCIAL WORK
IN
01
—
87001097A
CLINICAL ADDICTIONS COUNSELOR
IN
Enumeration date
05/28/2015
Last updated
02/13/2019
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