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SOMIYA M. MURTADI
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1780219931
Individual Registrant: SOMIYA M. MURTADI
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
472 N DALEVILLE AVE DALEVILLE, AL 36322-2076 US
Tel: 334-245-3367 Fax: 334-245-0158
Tel: 334-245-3367 Fax: 334-245-0158
Contact information for business:
472 N DALEVILLE AVE DALEVILLE, AL 36322-2076 US
Tel: 334-803-2959 Fax: --
Tel: 334-803-2959 Fax: --
Registration Information:
NPI: 1780219931
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | AL | ADC-941 |
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | AL | C3426A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
