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MRS. BLAKELY NICHELLE FORREST LMFT
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1962777425
Individual Registrant:MRS. BLAKELY NICHELLE FORREST LMFT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
213 GIFFORD PL JOELTON, TN 37080-8669 US
Tel: 615-631-4279 Fax: --
Tel: 615-631-4279 Fax: --
Contact information for business:
213 GIFFORD PL JOELTON, TN 37080-8669 US
Tel: 615-631-4279 Fax: --
Tel: 615-631-4279 Fax: --
Registration Information:
NPI: 1962777425
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | TN | 903 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
