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Individual

MR. JOE THOMAS GOSSAGE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC/MHSP

Contact information

Practice address
160 COURT AVE, SUITE 5, SEVIERVILLE, TN 37862-3560
(865) 280-2465
Mailing address
160 COURT AVE, SUITE 5, SEVIERVILLE, TN 37862-3560
(706) 331-0598
(865) 622-6937

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC0000002912
GA

Other

Enumeration date
11/27/2013
Last updated
11/27/2013
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