Whalio Doctors

NPI 1013226018

Deborah Ann Thibeault, LCSW

Practitioner Clinical Social Worker Johnson City, TN

Practice location

Address
325 N State of Franklin Rd, Johnson City, TN 37604-6056
Phone
(423) 439-7320
Fax
(423) 439-7343
Mailing address
PO Box 699, Mountain Home, TN 37684-0699

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6290 (TN)

Registry record

NPI
1013226018
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Sep 2010
Record last updated
2 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.