Individual
LAURA MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2810 8TH ST, TUSCALOOSA, AL 35401-2108
(205) 239-3752
Mailing address
2810 8TH ST, TUSCALOOSA, AL 35401-2108
(205) 239-3752
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L310
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3390063185
—
AL
Enumeration date
08/27/2008
Last updated
08/27/2009
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