Individual
ANDERSON MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
116 JEFFERSON ST S STE 205, HUNTSVILLE, AL 35801
(256) 919-5021
Mailing address
116 JEFFERSON ST S STE 205, HUNTSVILLE, AL 35801-8810
(256) 919-5021
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
09/30/2015
Last updated
06/13/2018
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