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Individual

MICHELLE RENEE MACKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
5743 WESTERN AVE, KNOXVILLE, TN 37921-2225
(719) 359-7514
Mailing address
5743 WESTERN AVE, KNOXVILLE, TN 37921-2225

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0001331
CO
101YP2500X
Professional Counselor
Primary
7233
TN
101YP2500X
Professional Counselor
LPC.0014007
CO

Other

Enumeration date
09/06/2017
Last updated
01/06/2026
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