Individual
MRS. LINDA SUE GENTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC MHSP
Contact information
Practice address
426 E G STREET, ELIZABETHTON, TN 37643
(423) 547-5950
(423) 547-5953
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC0000001768
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116576CTC
ANTHEM PROF TRIGON
—
01
—
334969
VALUEOPTIONS
—
01
—
4090288
MAGELLAN SUMMIT
—
Enumeration date
09/12/2006
Last updated
07/08/2007
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