Individual
MRS. EMRIST ANNE MUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
Mailing address
101 MEDICAL DR, DOTHAN, AL 36303-6903
(334) 702-7222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
3638
AL
Other
Enumeration date
05/15/2013
Last updated
04/30/2019
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