Organization
TERRI MUDGE, LPC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI CASEY MUDGE MS (LPC)
(251) 343-2597
Entity
Organization
Contact information
Practice address
5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168
(251) 343-2597
Mailing address
5905 AIRPORT BLVD, SUITE D, MOBILE, AL 36608-3168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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