Individual
CHARLES LOYD STALLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADACII, SAP
Contact information
Practice address
600 W. TRI COUNTY BLVD., OLIVER SPRINGS, TN 37840-1431
(865) 730-6628
Mailing address
600 W. TRI COUNTY BLVD., OLIVER SPRINGS, TN 37840-1431
(865) 730-6628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10089338
TN
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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