Individual
MRS. BRETRESE STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
13 OFFICE PARK CIR, MOUNTAIN BRK, AL 35223-2556
(205) 317-5957
Mailing address
1111 STREET LANE, BIRMINGHAM, AL 35555
(205) 317-5957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3643
AL
Other
Enumeration date
01/20/2017
Last updated
02/16/2018
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