Individual
LAUREN SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 W BROADWAY AVE, MARYVILLE, TN 37801-4712
(865) 809-0274
Mailing address
508 W BROADWAY AVE, MARYVILLE, TN 37801-4712
(865) 809-0274
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7761
TN
Other
Enumeration date
06/26/2019
Last updated
07/03/2025
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