Individual
KIKE MICHAEL KOTSIANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
600 ARTHUR ST, KNOXVILLE, TN 37921-6405
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
6920
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q048356
—
TN
Enumeration date
08/05/2013
Last updated
01/08/2021
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