Individual
MR. MITCHELL KEVIN TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1680 OLD FEDERAL RD, SHORTER, AL 36075-3509
(133) 431-8331
Mailing address
1680 OLD FEDERAL RD, SHORTER, AL 36075-3509
(133) 431-8331
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L203
AL
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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