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Individual

MRS. CHRISTIE JAN WIDGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
475 PROVIDENCE MAIN ST NW, SUITE 303A-B, HUNTSVILLE, AL 35806-4815
(256) 655-6762
Mailing address
558 BELVIEW DR, KILLEN, AL 35645-7860
(256) 757-3835

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2442
AL

Other

Enumeration date
01/05/2008
Last updated
01/05/2008
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