Individual
CHAD KINGERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LAC
Contact information
Practice address
2336 CONGRESS PKWY S, ATHENS, TN 37303-2820
(423) 266-6751
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1718
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1718
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LAC-LIC-3401
MT
101YM0800X
Mental Health Counselor
BBH-PCLC-LIC-25856
MT
Other
Enumeration date
04/21/2014
Last updated
11/22/2024
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