Individual
JESSICA LYNN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
162 MARKET PLACE BLVD STE D, KNOXVILLE, TN 37922-2337
(865) 212-6600
(865) 313-2149
Mailing address
PO BOX 31569, KNOXVILLE, TN 37930-1569
(865) 212-6600
(865) 313-2149
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6114
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103360721
—
TN
Enumeration date
12/09/2011
Last updated
01/30/2019
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