Individual
ALAN D BRAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
205 S SEMINARY ST, KEYSTONE BUSINESS CENTRE, FLORENCE, AL 35630-5665
(256) 332-2234
Mailing address
205 S SEMINARY ST, STE. 107, FLORENCE, AL 35630-5665
(256) 332-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
AL
101YP2500X
Professional Counselor
Primary
1820
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF AL
515-14003
AL
Enumeration date
10/23/2006
Last updated
07/23/2007
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