About
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Click HereBasic Data
Entity Type: Individual; Sole Proprietor
Gender
Male
Languages
- English
Healthcare Provider Taxonomy
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
Credentials
- Licensed Professional Counselor (LPC)
Licenses
Name | License Number | State |
---|---|---|
LPC | 2240 Verify | AL |
Practice Locations
83 Us Highway 169 North
Phenix City, AL 36870-8552
Phone Number: (706) 315-9040
Fax Number: (334) 448-8836