Organization
BLUE WATERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA GODFREY LPC (OWNER)
(334) 792-6736
Entity
Organization
Contact information
Practice address
6501 US HIGHWAY 431 N, HEADLAND, AL 36345-5657
(334) 792-6736
Mailing address
6501 US HIGHWAY 431 N, P O BOX 321, HEADLAND, AL 36345-5657
(334) 792-6736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3201
AL
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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