Organization · Type 2 NPI
A Prodigal's Path 2 Recovery, Inc.
Addiction (Substance Use Disorder) Counselor · Kingston, TN
NPI number
1386267490
Active
Practice location
107 Paint Rock Ferry Rd
Kingston, TN 37763-2921
Fax (865) 730-6792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1386267490
A Prodigal's Path 2 Recovery, Inc.'s National Provider Identifier is 1386267490, issued on May 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kingston, TN. The record was last updated on May 22, 2020.