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Mr. John Wilson III, CPRS
Peer Specialist in Knoxville, Tennessee
NPI 1982765772

John Wilson III is a Peer Specialist based in Knoxville, TN. John Wilson III practices in Knoxville, TN and has the professional credentials of CPRS. The NPI Number for John Wilson III is 1982765772 and holds a License No. MA47923 (Tennessee).

The current practice location address for John Wilson III is 201 W Springdale Ave, Knoxville, TN and can be reached out via phone at 865-637-9711.

Location: 201 W Springdale Ave, Knoxville, TN, 37917-5158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982765772
Provider Name
John Wilson III
Credential
CPRS
Provider Entity Type
Individual
Gender
Male
Address
201 W Springdale Ave, Knoxville, TN, 37917-5158
Phone Number
865-637-9711
Fax Number
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C4119 01 FL BLUE CROSS PROVIDER
institution
Provider Business Practice Location Address Details
Address
201 W Springdale Ave
City
Knoxville
State
Tennessee
Zip
37917-5158
Phone Number
865-637-9711
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Springdale Ave
City
Knoxville
State
Tennessee
Zip
37917-5158
Phone Number
865-637-9711
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
000-1216 (Tennessee)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA47923 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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