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NPI Code Detail

MEDICARE: JEANNE-MARIE GISCLAIR COUNSELOR

MEDICARE: JEANNE-MARIE GISCLAIR COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1386608222
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNE-MARIE GISCLAIR COUNSELOR
Provider Business Mailing Address
First Line : 9817 CRESTLINE DR
Second Line :
City : KNOXVILLE
State : TN
Zip : 37922-5767
Country : US
Telephone Number : 865-363-3388
Fax Number :
Provider Business Practice Location Address
First Line : 1451 DOWELL SPRINGS BLVD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2441
Country : US
Telephone Number : 865-970-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 08/30/2023

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