Organization
ELAINE G. RASCO, LPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELAINE GAMEL-RASCO M.DIV., M.ED (LICENSED PROFESSIONAL COUNSELOR)
(205) 253-6520
Entity
Organization
Contact information
Practice address
4268 CAHABA HEIGHTS CT STE 190, VESTAVIA, AL 35243-5711
(205) 253-6520
(205) 259-1626
Mailing address
1733 LINTHICUM ST, BIRMINGHAM, AL 35217-3214
(205) 253-6520
(205) 259-1626
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
2177
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417051004
NPI
AL
Enumeration date
08/04/2015
Last updated
08/04/2015
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