Individual
CONSUELO CLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 COTTON GIN RD, MONTGOMERY, AL 36117-3557
(334) 271-2402
Mailing address
400 COTTON GIN ROAD, MONTGOMERY, AL 36123-0550
(334) 271-2402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2537
AL
101YP2500X
Professional Counselor
Primary
2537
AL
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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