Individual
TAMMIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 E PARK CIR, BIRMINGHAM, AL 35235-3000
(205) 836-7286
(205) 836-9594
Mailing address
129 E PARK CIR, BIRMINGHAM, AL 35235-3000
(205) 836-7286
(205) 836-9594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2804
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000004
—
AL
Enumeration date
01/12/2011
Last updated
01/12/2011
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