Organization
COLLABORATIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE STOVER LCSW (MEMBER MANAGER)
(865) 258-7053
Entity
Organization
Contact information
Practice address
1361 PERKINS ST, ALCOA, TN 37701-2354
(865) 258-7053
Mailing address
1361 PERKINS ST, ALCOA, TN 37701-2354
(865) 258-7053
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068098
—
TN
Enumeration date
07/29/2021
Last updated
06/23/2024
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