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IB
Ida Boatman-Goussios, Lpc
Licensed Counselor
1413 Russell Ave, Jefferson City, TN 37760
Public record information
- NPI Number
- 1346405958
- Specialty Type
- Licensed Counselor
Contact Information
- Practice Address
- 1413 Russell Ave
Jefferson City, TN 37760 - Phone
- (865) 471-5525
Location
1413 Russell Ave, Jefferson City, TN, 37760
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Data sourced from the US National Provider Identifier (NPI) Registry — a public government database. NPI: 1346405958 · Verify on NPI Registry