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Individual

MS. TAMARA PELLANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,, L.P.C.

Contact information

Practice address
100 ESSEX CT, SUITE B, MADISON, AL 35758-3139
(256) 464-9755
(256) 774-7579
Mailing address
100 ESSEX CT, SUITE B, MADISON, AL 35758-3139
(256) 464-9755
(256) 774-7579

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1662
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1045501
CIGNA BEHAVIORAL HEALTH
MN
01
116534
BEHAVIORAL HEALTH NETWORK
NH
01
128680
VALUEOPTIONS TRICARE
SC
01
128680
VALUEOPTIONS
VA
01
220940
COMPSYCH
IL
01
4035865
BCBS OF TENNESSEE
TN
01
51008816
BCBS OF ALABAMA
AL
01
51501383
AMERICAN BEHAVIORAL
AL
01
62-99825
UBH ALLKIDS
GA
01
7286337
AETNA
CT
Enumeration date
09/03/2006
Last updated
07/08/2007
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