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1174999155
CRYSTAL FONDREN
KNOXVILLE, TN
NPI
1174999155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 3505)
Enumeration Date
2015-08-13
Last Update Date
2022-02-21
Business Address
CRYSTAL FONDREN LPC/MHSP
10434 JACKSON OAKS WAY
KNOXVILLE, TN 37922-3293
Phone number: 865-281-1408
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Mailing Address
CRYSTAL FONDREN LPC/MHSP
211 FERNWOOD LN
LEBANON, TN 37087-4830
Phone number: 615-735-7144
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