Individual
MRS. PATRICIA A VANDERPOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, CEAP, SAP
Contact information
Practice address
25369 US HIGHWAY 98 STE F, DAPHNE, AL 36526-4864
(251) 753-8906
Mailing address
PO BOX 182, DAPHNE, AL 36526-0182
(251) 753-8906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1067
AL
101YM0800X
Mental Health Counselor
MH21404
FL
101YP2500X
Professional Counselor
1067
AL
Other
Enumeration date
07/28/2006
Last updated
07/21/2023
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