Organization
A FRESH START COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY MCDERMOTT LPC (OWNER)
(256) 365-7654
Entity
Organization
Contact information
Practice address
110 PELHAM RD S, JACKSONVILLE, AL 36265-2540
(256) 365-7654
(256) 365-7654
Mailing address
1315 POINTER DR SW, JACKSONVILLE, AL 36265-3361
(256) 365-7654
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3559
AL
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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