Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 0000000011 | TN |
N | 101YP2500X | Professional Counselor | 0000001195 | TN |
N | 101YP2500X | Professional Counselor | 3205 | NC |
NPI | 1265509954 |
---|---|
Provider Name | Dr. Gerald David Lovett |
First Address | Knoxville, TN 37939-0944 |
Second Address | Knoxville, TN 37919-6434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 14/09/2009 |