Individual
MARY BLAKE BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6708 ALBUNDA DR, KNOXVILLE, TN 37919-4803
(865) 670-0988
Mailing address
3825 WASHINGTON PIKE, KNOXVILLE, TN 37917-1722
(865) 670-0988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8593
TN
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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