Individual
MARYSUE CARLETTA SMELCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
(865) 637-4362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2986
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q008149
—
TN
Enumeration date
04/19/2006
Last updated
05/05/2022
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