Individual
SHANNAN LEAGUE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4245 BALMORAL DR SW STE 203, HUNTSVILLE, AL 35801-6497
(256) 400-1111
Mailing address
4245 BALMORAL DR SW STE 203, HUNTSVILLE, AL 35801-6497
(256) 400-1111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4022
AL
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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