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Individual

MRS. LINDA COLCLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492
Mailing address
100 MEMORIAL HOSPITAL DR STE 2A, MOBILE, AL 36608-1199
(251) 344-2762
(251) 344-5492

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AL LPC 871
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510 92662
BLUE CROSS
AL
01
515 92982
BLUE CROSS
AL
Enumeration date
10/24/2006
Last updated
09/16/2008
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