Individual
PATRICIA LYNN WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC 2, NCAC 1
Contact information
Practice address
547 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-4760
(865) 518-2433
(865) 318-9025
Mailing address
547 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-4760
(865) 518-2433
(865) 318-9025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1210
TN
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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