Individual
DWIGHT D ERNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
365 STOUT DRIVE, BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4515
(423) 439-5780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4879
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3928723
—
TN
05
—
Q000444
—
TN
Enumeration date
08/14/2008
Last updated
05/03/2017
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