Individual
JULIE ANN SUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LADAC
Contact information
Practice address
200 E BROADWAY AVE STE 413, MARYVILLE, TN 37804-5754
(865) 924-3179
Mailing address
200 E BROADWAY AVE STE 413, MARYVILLE, TN 37804-5754
(865) 924-3179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000001122
TN
1041C0700X
Clinical Social Worker
Primary
LSW0000005854
TN
Other
Enumeration date
05/30/2012
Last updated
02/04/2014
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