Organization
KELLY DORR MOATES, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY DORR MOATES MS, LMFT (OWNER, THERAPIST)
(205) 914-3035
Entity
Organization
Contact information
Practice address
326 MAIN ST, SUITE B, TRUSSVILLE, AL 35173-1425
(205) 914-3035
Mailing address
326 MAIN ST, SUITE B, TRUSSVILLE, AL 35173-1425
(205) 914-3035
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
267
AL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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