person
Mr. Thomas Russell Humberd, MSLPCMHSP
Mental Health Counselor in Knoxville, Tennessee
NPI 1780691626

Thomas Russell Humberd is a Mental Health Counselor based in Knoxville, TN and is specialized in Mental Health. Thomas Russell Humberd practices in Knoxville, TN and has the professional credentials of MSLPCMHSP. The NPI Number for Thomas Russell Humberd is 1780691626 and holds a License No. LPC0000001609 (Tennessee).

The current practice location address for Thomas Russell Humberd is 5410 Homberg Drive, Knoxville, TN and can be reached out via phone at 865-588-3173 and via fax at 865-588-3174. You can also correspond with Thomas Russell Humberd through the mailing address at 5410 HOMBERG DRIVE, KNOXVILLE, TN - 37919 (mailing address contact number: 865-588-3173).

Location: 5410 Homberg Drive, Knoxville, TN, 37919
person
Provider Profile Details
NPI Number
1780691626
Provider Name
Thomas Russell Humberd
Credential
MSLPCMHSP
Provider Entity Type
Individual
Gender
Male
Address
5410 Homberg Drive, Knoxville, TN, 37919
Phone Number
865-588-3173
Fax Number
865-588-3174
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
244504 01 COMPSYCH
9375370 01 PRINCIPLE GROUP LIFE
1220955 01 CHA HEALTH
9375370 01 PRIVATE HEALTH CARE SYSTE
4105431 01 BLUE CROSS BLUE SHIELD
TN0104 01 JOHN DEERE HEALTH
359710 01 MANAGED HEALTH NETWORK
institution
Provider Business Practice Location Address Details
Address
5410 Homberg Drive
City
State
Zip
37919
Phone Number
865-588-3173
Fax Number
865-588-3174
person
Provider Business Mailing Address Details
Address
5410 Homberg Drive
City
State
Zip
37919
Phone Number
865-588-3173
Fax Number
865-588-3174
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC0000001609 (Tennessee)
Definition
Definition to come...
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