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SHUNDRA PTOMEY GICHURU

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

Registrant NPI Number: 1457926644

Individual Registrant:
 SHUNDRA PTOMEY GICHURU 
Gender: F
Sole Proprietor

Location and contact information for practice:
3318 WENTWOOD CIR  ADAMSVILLE, AL 35005-2439 US
Tel: 205-329-5859  Fax: --

Contact information for business:
3318 WENTWOOD CIR  ADAMSVILLE, AL 35005-2439 US
Tel: 205-329-5859  Fax: --

Registration Information:
NPI: 1457926644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
ALC3769A

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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