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BRENDA A DONALDSON LPC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1093931867

Individual Registrant:
 BRENDA A DONALDSON LPC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
19815 BAY BRANCH RD  ANDALUSIA, AL 36420-9234 US
Tel: 334-222-2523  Fax: 334-222-4660

Contact information for business:
1402 E THREE NOTCH ST  ANDALUSIA, AL 36420-3406 US
Tel: 334-222-6825  Fax: --

Registration Information:
NPI: 1093931867
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
AL983

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
UBH BASIC62-30336AL01
UBH PLUS62-31336AL01




HEALTH CARE JOBS AL - Page 1



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