Gladson Andrews II, LMFT

Individual provider Active NPI Marriage & Family Therapist · Knoxville, TN

NPI 1750776142 · NPPES record last updated Oct 18, 2017

Key facts

NPI
1750776142
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1137 (TN)
Practice address
2025 Castaic LN
Knoxville, TN 37932-1557
Phone
(865) 738-5038
NPI assigned
Apr 1, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1137TNMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1137 TN Yes

Addresses

Primary practice location

2025 Castaic LN
Knoxville, TN 37932-1557

Mailing address

2025 Castaic LN
Knoxville, TN 37932-1557
Phone (865) 738-5038

Other providers in Knoxville, TN

All providers in Knoxville, TN · Marriage & Family Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.