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MRS. BLAKELY NICHELLE FORREST LMFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1962777425

Individual Registrant:
MRS. BLAKELY NICHELLE FORREST LMFT
Gender: F
Sole Proprietor

Location and contact information for practice:
213 GIFFORD PL  JOELTON, TN 37080-8669 US
Tel: 615-631-4279  Fax: --

Contact information for business:
213 GIFFORD PL  JOELTON, TN 37080-8669 US
Tel: 615-631-4279  Fax: --

Registration Information:
NPI: 1962777425
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
TN903

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS TN - Page 1



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