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Individual

DR. MARK TICHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST/HSP

Contact information

Practice address
704 WOODCHASE DR, KNOXVILLE, TN 37934-1626
(865) 406-5646
Mailing address
704 WOODCHASE DR, KNOXVILLE, TN 37934-1626
(865) 406-5646

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2038
TN
103T00000X
Psychologist
Primary
2786
TN

Other

Enumeration date
10/19/2006
Last updated
01/11/2012
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