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Individual

DR. TERISSA LYNNE UPCHURCH-BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D, LPC, LIMHP,

Contact information

Practice address
5927 UNIVERSITY BLVD E, COTTONDALE, AL 35453-1644
(205) 534-1938
Mailing address
PO BOX 71382, TUSCALOOSA, AL 35407-1382
(205) 534-1938

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4104
AL

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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