Organization
KOINONIA COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SANDERFUR LPC, M.ED (OWNER/THERAPIST)
(865) 584-6374
Entity
Organization
Contact information
Practice address
3343 DEWINE RD, KNOXVILLE, TN 37921-4211
(865) 584-6374
(865) 584-6613
Mailing address
3343 DEWINE RD, KNOXVILLE, TN 37921-4211
(865) 584-6374
(865) 584-6613
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
LPC0812
TN
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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