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Individual

JENNIFER STOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
1100 18TH AVE S, NASHVILLE, TN 37212-2107
(615) 840-4990
Mailing address
1100 18TH AVE S, NASHVILLE, TN 37212-2107

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39002510A
IN
101YP2500X
Professional Counselor
Primary
3148
TN

Other

Enumeration date
02/28/2015
Last updated
05/05/2017
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