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Organization

MARRIAGE & FAMILY COUNSELING CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY KENNETH DANIELS M.A. (COUNSELOR)
(252) 776-3593
Entity
Organization

Contact information

Practice address
605 BEL AIR BLVD STE 10, MOBILE, AL 36606-3503
(251) 478-5050
Mailing address
605 BEL AIR BLVD STE 10, MOBILE, AL 36606-3503
(251) 478-5050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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