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Organization
CENTER FOR MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization
CENTER FOR MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANGELA VICKERS MS (LMFT)
(256) 881-5352
Entity
Organization
Contact information
Practice address
116 LILY FLAGG ROAD, SUITE D, HUNTSVILLE, AL 35802-3066
(256) 881-5352
(256) 881-5355
Mailing address
116 LILY FLAGG RD SW, SUITE D, HUNTSVILLE, AL 35802-3066
(256) 881-5352
(256) 881-5355
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
02/12/2015
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