Individual
JERRY SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2928 E MAGNOLIA AVE, KNOXVILLE, TN 37914-4515
(865) 394-9075
Mailing address
5509 CLIFFWOOD RD, KNOXVILLE, TN 37921-2410
(615) 495-3262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2895
TN
Other
Enumeration date
04/05/2017
Last updated
04/07/2017
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