Provider Demographics
NPI:1922208941
Name:NECHTOW, FRIEDERICA GRUNDKE (MS, LPC-MHSP, NCC)
Entity Type:Individual
Prefix:MS
First Name:FRIEDERICA
Middle Name:GRUNDKE
Last Name:NECHTOW
Suffix:
Gender:F
Credentials:MS, LPC-MHSP, NCC
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Mailing Address - Street 1:220 FORT SANDERS WEST BLVD
Mailing Address - Street 2:MOB 2 SUITE 306
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3398
Mailing Address - Country:US
Mailing Address - Phone:865-531-4500
Mailing Address - Fax:865-531-4584
Practice Address - Street 1:220 FORT SANDERS WEST BLVD
Practice Address - Street 2:MOB 2 SUITE 306
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3398
Practice Address - Country:US
Practice Address - Phone:865-531-4500
Practice Address - Fax:865-531-4584
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN1606101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional