Individual
KELLY ANNE GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
111 CENTER PARK DR STE 1300, KNOXVILLE, TN 37922-2124
(248) 342-3203
Mailing address
3122 ORCHARD AVE, KNOXVILLE, TN 37917-2943
(248) 342-3203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
5591
TN
101YP2500X
Professional Counselor
Primary
5591
TN
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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