Individual
SHAWN RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9111 CROSS PARK DR, E475, KNOXVILLE, TN 37923-4506
(865) 560-2550
Mailing address
9111 CROSS PARK DR, E475, KNOXVILLE, TN 37923-4506
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
260005
KY
Other
Enumeration date
07/28/2016
Last updated
06/09/2021
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