Search › Tennessee › Professional Counselor
Ida Boatman-Goussios, LPC
NPI 1346405958 · on the registry since 2008
Practice
- Address
- 1413 Russell Ave
Jefferson City, TN 37760 - Phone
- (865) 471-5525
- Organisation at this address
- Rural Medical Services Inc
Jefferson City Senior Center
University Health System, Inc
Baptist Primary & Senior Healthcare Clinic Jefferson CityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 229 Hedrick Dr, Newport, TN
- 111 Mockingbird Ave, Parrottsville, TN
- 3222 Chestnut Hill School Rd, Dandridge, TN
- 103 Wilton Springs Rd, Newport, TN
- 100 Stoneforest Dr Ste 230, Woodstock, GA
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Professional Counselor
- Licence states on file
- GA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee