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Individual

MR. TERRY LEE MASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 276-2419
(205) 655-3851
Mailing address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 276-2419
(205) 655-3851

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH7976
FL
101YP2500X
Professional Counselor
Primary
2445
AL

Other

Enumeration date
08/20/2008
Last updated
08/20/2008
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