Ida Mae Boatman-Goussios, LPC
NPI #1346405958 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1346405958
- Entity Type
- Individual
- Name
- Ida Mae Boatman-Goussios, LPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jul 23, 2008
- Last Updated
- Jan 2, 2025
Practice Location
- Address
- 1413 RUSSELL AVE
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2562
- Phone
- (865) 471-5525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
Additional Practice Locations
229 Hedrick Dr
Newport, TN, 37821-2902
(423) 623-1057
3222 Chestnut Hill School Rd
Dandridge, TN, 37725-7238
(865) 509-6611
111 Mockingbird Ave
Parrottsville, TN, 37843-2741
(423) 625-1170
103 Wilton Springs Rd
Newport, TN, 37821-6405
(423) 487-2222
100 Stoneforest Dr Ste 230
Woodstock, GA, 30189-4903
(770) 389-8100
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