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Individual

BRENDA A DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
19815 BAY BRANCH RD, ANDALUSIA, AL 36420-9234
(334) 222-2523
(334) 222-4660
Mailing address
1402 E THREE NOTCH ST, ANDALUSIA, AL 36420-3406
(334) 222-6825

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
983
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62-30336
UBH BASIC
AL
01
62-31336
UBH PLUS
AL
Enumeration date
04/18/2007
Last updated
07/08/2007
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