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Individual

ROBERT RANDOLPH GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-MHSP

Contact information

Practice address
3214 TAZEWELL PIKE STE 206, KNOXVILLE, TN 37918-2580
(865) 414-1848
Mailing address
PO BOX 5593, KNOXVILLE, TN 37928-0593
(865) 414-1848

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2553
TN
101YP2500X
Professional Counselor
LPC2553
TN

Other

Enumeration date
02/06/2007
Last updated
03/17/2018
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