Individual
EDNA BOOKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3213 RIVER MAPLE WAY APT 307, KNOXVILLE, TN 37914-6374
(865) 621-6856
Mailing address
3213 RIVER MAPLE WAY APT 307, KNOXVILLE, TN 37914-6374
(865) 621-6856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW0000007584
LICENSED MASTER SOCIAL WORK
TN
Enumeration date
12/02/2018
Last updated
12/02/2018
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