Individual
GRACE MCALLISTER WOOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TEMP-LPC-MHSP
Contact information
Practice address
2211 E BROADWAY AVE, MARYVILLE, TN 37804-3078
(865) 324-2043
Mailing address
2211 E BROADWAY AVE, MARYVILLE, TN 37804-3078
(865) 324-2043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7727
TN
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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