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Individual

EJEMHEN HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
2970 COTTAGE HILL RD, MOBILE, AL 36606-4748
(251) 459-0681
Mailing address
2970 COTTAGE HILL RD, MOBILE, AL 36606-4748

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
ALC04252
AL
101YM0800X
Mental Health Counselor
Primary
LPC05497
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ALC04252
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
01
LPC05497
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
10/10/2022
Last updated
03/26/2025
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