Individual provider · Type 1 NPI

Kylie Deanna Stough, LPC/MHSP

Professional Counselor · Oak Ridge, TN

NPI number 1205410016 Active

Practice location

240 W Tyrone Rd
Oak Ridge, TN 37830-6517

Mailing address

12501 Choto Mill Ln
Knoxville, TN 37922-0615

Specialties and licenses

TaxonomyCodeLicense
General Practice Registered Nurse 163WG0000X228872 (TN)
Professional Counselor Primary 101YP2500X4660 (TN)

Professional Counselor: Definition to come...

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About NPI 1205410016

Kylie Deanna Stough, LPC/MHSP's National Provider Identifier is 1205410016, issued on May 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Oak Ridge, TN. The record was last updated on May 7, 2021.