person
Ida Mae Boatman-goussios, LPC
Professional Counselor in Jefferson City, Tennessee
NPI 1346405958

Ida Mae Boatman-goussios is a Professional Counselor based in Newport, TN and is specialized in Professional. Ida Mae Boatman-goussios practices in Jefferson City, TN and has the professional credentials of LPC. The NPI Number for Ida Mae Boatman-goussios is 1346405958 and holds a License No. LPC013160 (Tennessee).

The current practice location address for Ida Mae Boatman-goussios is 1413 Russell Ave, Jefferson City, TN and can be reached out via phone at 865-471-5525.

Location: 1413 Russell Ave, Jefferson City, TN, 37822-0577
person
Provider Profile Details
NPI Number
1346405958
Provider Name
Ida Mae Boatman-goussios
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1413 Russell Ave, Jefferson City, TN, 37822-0577
Phone Number
865-471-5525
Fax Number
Provider Enumeration Date
07/23/2008
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
1413 Russell Ave
City
State
Zip
37760-2562
Phone Number
865-471-5525
Fax Number
person
Provider Business Mailing Address Details
Address
1413 Russell Ave
City
State
Zip
37760-2562
Phone Number
865-471-5525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC013160 (Georgia)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.