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General NPI Number Information
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NPI Number | 1740794189
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Entity Type | Individual
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Provider Name | CHRISTOPHER NELSON LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 953 MAIN ST STE 109B
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City | NASHVILLE
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State | TN
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Zip | 37206-3628
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Country | US
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Telephone | 413-350-1199
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Fax |
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Provider Business Mailing Address
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Address Line | 803 NELLA DR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0002029
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1423
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License Number State | TN
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