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Organization

LIFELINE COUNSELING CENTER PLLC

Active
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Organization

LIFELINE COUNSELING CENTER PLLC

Active
Other names
LifeLine Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA-LEE W. DUARTE LPC-MHSP (EXECUTIVE DIRECTOR)
(865) 981-7400
Entity
Organization

Contact information

Practice address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
(865) 977-5400
Mailing address
294 GAMBLE AVE, MARYVILLE, TN 37801-4943
(865) 981-7400
(865) 977-5400

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker

Other

Enumeration date
12/02/2010
Last updated
12/02/2010
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