person
Kylie Deanna Stough, LPC/MHSP
Professional Counselor in Oak Ridge, Tennessee
NPI 1205410016

Kylie Deanna Stough is a Professional Counselor based in Knoxville, TN and is specialized in Professional. Kylie Deanna Stough practices in Oak Ridge, TN and has the professional credentials of LPC/MHSP. The NPI Number for Kylie Deanna Stough is 1205410016 and holds a License No. 228872 (Tennessee).

The current practice location address for Kylie Deanna Stough is 240 W Tyrone Rd, Oak Ridge, TN and can be reached out via phone at 865-481-6175. You can also correspond with Kylie Deanna Stough through the mailing address at 12501 CHOTO MILL LN, KNOXVILLE, TN - 37922-0615 (mailing address contact number: 865-392-1600).

Location: 240 W Tyrone Rd, Oak Ridge, TN, 37922-0615
person
Provider Profile Details
NPI Number
1205410016
Provider Name
Kylie Deanna Stough
Credential
LPC/MHSP
Provider Entity Type
Individual
Gender
Female
Address
240 W Tyrone Rd, Oak Ridge, TN, 37922-0615
Phone Number
865-481-6175
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 W Tyrone Rd
City
State
Zip
37830-6517
Phone Number
865-481-6175
Fax Number
person
Provider Business Mailing Address Details
Address
12501 Choto Mill Ln
City
State
Zip
37922-0615
Phone Number
865-392-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
4660 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
228872 (Tennessee)
Definition
Definition to come...
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