Organization
NORTH STAR COUNSELING AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE M GAMBLE LPC-MHSP (PRESIDENT/CEO)
(615) 668-8244
Entity
Organization
Contact information
Practice address
811 MICAH ST, MARYVILLE, TN 37804-3084
(615) 668-8244
Mailing address
811 MICAH ST, MARYVILLE, TN 37804-3084
(615) 668-8244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3000
TN
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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