Individual
MS. CARLA GAYLE LESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 724-0852
(865) 724-0853
Mailing address
1821 W BROADWAY AVE, MARYVILLE, TN 37801-5511
(865) 724-0852
(865) 724-0853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
TN
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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