Individual
DR. GWENDOLYN LISA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
108 E MAIN ST STE 210B, KINGSPORT, TN 37660-4257
(423) 302-0347
Mailing address
308 OAK CT, KINGSPORT, TN 37663-2562
(423) 302-0347
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5580
TN
Other
Enumeration date
11/09/2012
Last updated
07/26/2023
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