Individual
MR. THADDEUS LORENZO NOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV., L.P.C.
Contact information
Practice address
6145 TEMPLE STAR RD, KINGSPORT, TN 37660-8028
(423) 349-4070
(423) 349-6597
Mailing address
110 EBONY LN, GRAY, TN 37615-2360
(423) 477-6040
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2104
TN
Other
Enumeration date
09/12/2006
Last updated
02/11/2013
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