Individual
MR. EDWARD KNIGHT DOREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MHSP
Contact information
Practice address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
Mailing address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2971
TENNESSEE BOARD FOR LICENSED COUNSELORS
TN
Enumeration date
08/22/2008
Last updated
03/05/2013
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