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Individual
MR. ALFRED DONNELL COUCH SR.
Active
Individual
MR. ALFRED DONNELL COUCH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC II, NCACI, ADS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L000000033783
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000000201
TN
101YM0800X
Mental Health Counselor
L000000033783
TN
Other
Enumeration date
07/06/2013
Last updated
12/06/2023
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