Individual
JOHN LUCIUS IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 970-9800
(865) 374-7317
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 970-9800
(865) 374-7317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99999
TN
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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