Individual
TIFFANI WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3006 LAKE BROOK BLVD BLDG 1, KNOXVILLE, TN 37909-1137
(865) 544-5069
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5097
TN
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
5097
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059321
—
TN
Enumeration date
09/17/2008
Last updated
04/24/2024
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