Individual
KATHY A BENEDETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LPE LPC LMFT
Contact information
Practice address
109 W WATAUGA AVE, WATAUGA BEHAVIORAL HEALTH, JOHNSON CITY, TN 37601
(423) 232-2700
(423) 232-2714
Mailing address
1167 SPRATLIN PARK DRIVE, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC598
TN
101YP2500X
Professional Counselor
598
TN
103T00000X
Psychologist
LPE434
TN
106H00000X
Marriage & Family Therapist
Primary
LMFT219
TN
Other
Enumeration date
11/08/2006
Last updated
10/14/2019
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