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Desiree Nicholas
Mental Health Counselor in Knoxville, Tennessee
NPI 1568984946

Desiree Nicholas is a Mental Health Counselor based in Knoxville, TN and is specialized in Mental Health. Desiree Nicholas practices in Knoxville, TN. The NPI Number for Desiree Nicholas is 1568984946 and holds a License No. 5007 (Tennessee).

The current practice location address for Desiree Nicholas is 5310 Ball Camp Pike, Knoxville, TN and can be reached out via phone at 865-539-2409.

Location: 5310 Ball Camp Pike, Knoxville, TN, 37912-2747
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Provider Profile Details
NPI Number
1568984946
Provider Name
Desiree Nicholas
Credential
Provider Entity Type
Individual
Gender
Female
Address
5310 Ball Camp Pike, Knoxville, TN, 37912-2747
Phone Number
865-539-2409
Fax Number
Provider Enumeration Date
07/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q066275 05 TN
institution
Provider Business Practice Location Address Details
Address
5310 Ball Camp Pike
City
State
Zip
37921-3234
Phone Number
865-539-2409
Fax Number
person
Provider Business Mailing Address Details
Address
5310 Ball Camp Pike
City
State
Zip
37921-3234
Phone Number
865-539-2409
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5007 (Tennessee)
Definition
Definition to come...
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