Individual
KENDRA B QUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
208 E UNAKA AVE, JOHNSON CITY, TN 37601-4626
(423) 926-0940
(423) 926-4202
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14795
TN
1041C0700X
Clinical Social Worker
Primary
10256
TN
Other
Enumeration date
09/18/2025
Last updated
03/10/2026
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