Individual
DARRELL D. FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 SIMMONS ST, MARYVILLE, TN 37801-4750
(865) 970-9800
(865) 374-7129
Mailing address
1451 DOWELL SPRINGS BLVD, KNOXVILLE, TN 37909-2441
(865) 374-7123
(865) 374-7129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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