Individual
BROOKE LYNN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
313 N FOREST PARK BLVD, KNOXVILLE, TN 37919-5128
(865) 382-3316
(865) 234-0018
Mailing address
313 N FOREST PARK BLVD, KNOXVILLE, TN 37919-5128
(865) 382-3316
(865) 234-0018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4025
TN
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4025
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q031201
—
TN
Enumeration date
01/13/2014
Last updated
04/11/2022
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