| Doctor Name: | MR. GEORGE THOMAS NETHERTON |
| NPI Number: | 1225068794 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC LPE LADAC |
| License Number: | LPC00735 |
| Business Practice Address: | 261 Yvonne Avenue Crossville, TN - 385551569 |
| Business Phone Number: | 9317078921 |
| Business Fax Number: | 9317078921 |
| Mailing Address: | 87 Daddys Creek Lane, CROSSVILLE |
| State: | TN |
| Postal Code: | 385551569 |
| Phone Number: | 9317078921 |
| Fax Number: | 9317078921 |
| NPI Enumeration Date: | 07/03/2006 |
| NPI Last Update Date: | 04/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC00735 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |