Individual provider · Type 1 NPI

Robert Keltner Weatherly Iii, BSW

Counselor · Kingsport, TN

NPI number 1225460942 Active

Practice location

2001 Stonebrook Pl
Kingsport, TN 37660-4000

Call (423) 224-1000 Map

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1225460942

Robert Keltner Weatherly Iii, BSW's National Provider Identifier is 1225460942, issued on Aug 5, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Kingsport, TN. The record was last updated on Aug 5, 2013.