Individual
MRS. MALLORY PAIGE CASEVECHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMHSP
Contact information
Practice address
9111 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4506
(865) 320-2181
Mailing address
1112 GALEWOOD RD, KNOXVILLE, TN 37919-8416
(865) 320-2181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
TN3834
TN
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
TN3834
TN
101YP2500X
Professional Counselor
TN3834
TN
Other
Enumeration date
05/23/2019
Last updated
06/02/2020
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