Individual
JORGE LUIS ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
813 S NORTHSHORE DR, SUITE 105, KNOXVILLE, TN 37919-7594
(865) 584-4005
(865) 584-5551
Mailing address
PO BOX 10372, KNOXVILLE, TN 37939-0372
(865) 584-4005
(865) 584-5551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
03/18/2013
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