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Organization

VINE PASTORAL COUNSELING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AMANDA W. RAGLAND D.MIN. (DIRECTOR)
(256) 461-8580
Entity
Organization

Contact information

Practice address
333 FRANKLIN ST, SUITE 300, HUNTSVILLE, AL 35801-4264
(256) 461-8580
(256) 517-8382
Mailing address
333 FRANKLIN ST, SUITE 300, HUNTSVILLE, AL 35801-4264
(256) 461-8580
(256) 517-8382

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT
AL
106H00000X
Marriage & Family Therapist
LMFT110
AL
106H00000X
Marriage & Family Therapist
LMFT126
AL
106H00000X
Marriage & Family Therapist
Primary
LMFT99
AL

Other

Enumeration date
11/17/2006
Last updated
03/21/2011
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