Individual
KATHERINE COMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP
Contact information
Practice address
4100 N ROAN ST STE 214, JOHNSON CITY, TN 37601-1103
(423) 797-6284
(423) 370-1778
Mailing address
PO BOX 5114, JOHNSON CITY, TN 37602-5114
(423) 433-7951
(423) 370-1778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
3527
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q016901
—
TN
Enumeration date
11/09/2011
Last updated
09/18/2019
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