Individual
JOCELYN IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2455 SUTHERLAND AVE, KNOXVILLE, TN 37919
(865) 637-9711
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TN
101YP2500X
Professional Counselor
Primary
3806
TN
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q025876
—
TN
Enumeration date
12/03/2012
Last updated
09/09/2019
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