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MRS. MINDI MARLENA AMBERSON LBSW, ALC

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

Registrant NPI Number: 1285977728

Individual Registrant:
MRS. MINDI MARLENA AMBERSON LBSW, ALC
Gender: F
Sole Proprietor

Location and contact information for practice:
244 DOUGLAS DR  ANNISTON, AL 36207-6439 US
Tel: 256-294-3549  Fax: --

Contact information for business:
244 DOUGLAS DR  ANNISTON, AL 36207-6439 US
Tel: 256-294-3549  Fax: --

Registration Information:
NPI: 1285977728
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
ALC2073A
N104100000XBehavioral Health & Social Service Providers
Social Worker
AL4285B

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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