Individual
MARY AMANDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S PETERS RD, KNOXVILLE, TN 37923-5204
(423) 462-1599
Mailing address
502 ANNANDALE RD, KNOXVILLE, TN 37934-5041
(423) 462-1599
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q061097
—
TN
Enumeration date
09/10/2013
Last updated
03/17/2021
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