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Organization
EAP LIFESTYLE MANAGEMENT, LLC
Active
Organization
EAP LIFESTYLE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A VANDERPOOL MS, LPC, CEAP (PRESIDENT/OWNER)
(251) 621-5360
Entity
Organization
Contact information
Practice address
1605 MAIN ST, DAPHNE, AL 36526-4463
(251) 621-5360
(251) 621-5361
Mailing address
1605 MAIN ST, DAPHNE, AL 36526-4463
(251) 621-5360
(251) 621-5361
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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