Organization · Type 2 NPI
Springs of Life
Addiction (Substance Use Disorder) Counselor · Jellico, TN
NPI number
1063992600
Active
Practice location
185 Baker Street
Jellico, TN 37762
Mailing address
P.o. Box 893
Jellico, TN 37762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1000000022735 (TN) |
| Group Psychotherapy Psychologist | 103TP2701X | None listed |
| Rehabilitation Psychologist | 103TR0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1063992600
Springs of Life's National Provider Identifier is 1063992600, issued on Aug 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jellico, TN. The record was last updated on Aug 14, 2018.