Individual
KATELYN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
2455 SUTHERLAND AVE, KNOXVILLE, TN 37919
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q026149
—
TN
Enumeration date
01/05/2015
Last updated
09/13/2021
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