Individual
KATRINA LEANN LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 637-9711
(865) 637-4362
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
(865) 637-4362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/10/2007
Last updated
03/02/2021
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