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RILEY HAM

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1790351401

Individual Registrant:
 RILEY  HAM 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
109 MEDICAL PARK DR STE C  ANDALUSIA, AL 36420-5364 US
Tel: 334-222-1818  Fax: 334-222-1919

Contact information for business:
109 MEDICAL PARK DR STE C  ANDALUSIA, AL 36420-5364 US
Tel: 334-222-1818  Fax: 334-222-1919

Registration Information:
NPI: 1790351401
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
ALC3682A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
APCC3682AAL01




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