Individual
KELLY WOODBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP (T)
Contact information
Practice address
10261 KINGSTON PIKE, KNOXVILLE, TN 37922-3276
(865) 283-1777
Mailing address
10261 KINGSTON PIKE, KNOXVILLE, TN 37922-3276
(865) 283-1777
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6390
TN
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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