Individual
MR. JONATHAN C GARLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1300 NOBLE ST, ANNISTON, AL 36201-4643
(256) 365-3401
Mailing address
1414 GOLDEN SPRINGS RD # 301, ANNISTON, AL 36207-6924
(256) 365-3401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2304
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2304
LICENSED PROFESSIONAL COUNSELOR
AL
Enumeration date
07/23/2019
Last updated
07/23/2019
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