Individual provider · Type 1 NPI
John Walton Quillen, L.A.D.A.C.
Addiction (Substance Use Disorder) Counselor · Maryville, TN
NPI number
1316828908
Active
Practice location
200 E Broadway Ave Ste 305A
Maryville, TN 37804-5780
Mailing address
200 E Broadway Ave Ste 305
Maryville, TN 37804-5755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 00897 (TN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316828908
John Walton Quillen, L.A.D.A.C.'s National Provider Identifier is 1316828908, issued on Sep 10, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Maryville, TN. The record was last updated on Sep 10, 2025.