Individual
TONYA GULLEDGE HERBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1672 COLUMBIA HWY, DOTHAN, AL 36303-5434
(334) 790-7025
Mailing address
PO BOX 1245, DOTHAN, AL 36302-1245
(334) 712-2720
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3811
AL
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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