Individual
MRS. BLAKELY NICHELLE FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
213 GIFFORD PL, JOELTON, TN 37080-8669
(615) 631-4279
Mailing address
213 GIFFORD PL, JOELTON, TN 37080-8669
(615) 631-4279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
903
TN
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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