Waddell, John Roy

Waddell, John Roy is an individual health care provider with primary practice located at 114 Bruce St , Sevierville TN 37862-3558. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Waddell, John Roy can be contacted via phone (865) 774-4432.

Contact Information

Primary practice address
114 Bruce St Sevierville TN 37862-3558
Phone: (865) 774-4432
Fax: (865) 453-4311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC0000001715 Tennessee

Profile Details

NPI number 1871728048
LBN Legal business name Waddell, John Roy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871728048 NPPES
Tennessee Other LPC0000001715 LICENSED PROFESSIONAL COUNSELOR

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