Individual
KATLYN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661
(865) 522-3670
Mailing address
412 CITICO ST, KNOXVILLE, TN 37921-5811
(865) 522-0661
(865) 522-3670
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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