Individual
JESSICA KYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
320 N PETERS RD, KNOXVILLE, TN 37922-7509
(865) 290-2278
Mailing address
320 N PETERS RD, KNOXVILLE, TN 37922-7509
(865) 290-2278
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701012003
VA
101YP2500X
Professional Counselor
Primary
6687
TN
Other
Enumeration date
01/04/2023
Last updated
11/17/2023
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