Individual
DEBORAH THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
123 2ND AVE NW, FAYETTE, AL 35555-2511
(205) 932-3216
Mailing address
1100 7TH AVE, JASPER, AL 35501-4377
(205) 302-9000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1286
AL
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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