Individual
KATHLEEN BRIEN DOUTHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC-MHSP
Contact information
Practice address
10411 LOVELL CENTER DR STE 107, KNOXVILLE, TN 37922-3262
(865) 804-4978
Mailing address
12211 ARONIMINK PT, FARRAGUT, TN 37934-2530
(865) 804-4978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2461
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12375144
CAQH PROVIDER ID
TN
Enumeration date
06/22/2009
Last updated
01/07/2020
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