Individual
JOSEPH JUSTIN MIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10414 JACKSON OAKS WAY STE 103, KNOXVILLE, TN 37922-0704
(865) 888-6833
Mailing address
1730 MAPLESTONE LN, KNOXVILLE, TN 37918-1893
(865) 719-3923
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1923
TN
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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