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3400 Lebanon Rd Bldg 11 Murfreesboro TN 37129-1237 | |
| (615) 876-6000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3400 Lebanon Rd, Murfreesboro, Tennessee |
| Authorized Official Name and Position | Connie Marie West (ADDICTION THERAPIST) |
| Authorized Official Contact | 6158676000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3400 Lebanon Rd Bldg 11 Murfreesboro TN 37129-1237 Ph: (615) 876-6000 | 3400 Lebanon Rd Bldg 11 Murfreesboro TN 37129-1237 Ph: (615) 876-6000 |
| NPI Number | 1053598763 |
|---|---|
| Provider Enumeration Date | 01/24/2008 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053598763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 60284 (Texas) | Primary |
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