Individual
MARIAH LYN THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
1531 HUNT CLUB BLVD STE 208, GALLATIN, TN 37066-6097
(208) 353-5594
Mailing address
1531 HUNT CLUB BLVD STE 208, GALLATIN, TN 37066-6097
(208) 353-5594
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2710
TN
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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