JOHN WALTON QUILLEN

MARYVILLE, TN
NPI1316828908
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TN  00897)
Enumeration Date2025-09-10
Last Update Date2025-09-10
Business Address
-- JOHN WALTON QUILLEN L.A.D.A.C.
200 E BROADWAY AVE STE 305A
MARYVILLE, TN 37804-5780
Phone number: 865-579-4443
Mailing Address
-- JOHN WALTON QUILLEN L.A.D.A.C.
200 E BROADWAY AVE STE 305
MARYVILLE, TN 37804-5755
Phone number: 865-579-4443