Individual provider · Type 1 NPI
Jorge Luis Roman, MS
Mental Health Counselor · Knoxville, TN
NPI number
1952641490
Active
Practice location
813 S Northshore Dr, Suite 105
Knoxville, TN 37919-7594
Fax (865) 584-5551
Mailing address
PO Box 10372
Knoxville, TN 37939-0372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1952641490
Jorge Luis Roman, MS's National Provider Identifier is 1952641490, issued on Feb 20, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Knoxville, TN. The record was last updated on Mar 18, 2013.