Organization
SHEPHERD COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY SELF MA, LPC (OWNER)
(205) 531-6896
Entity
Organization
Contact information
Practice address
4193 US HIGHWAY 11, SPRINGVILLE, AL 35146-7332
(205) 531-6896
Mailing address
5040 BAXTER RD, SPRINGVILLE, AL 35146-6110
(205) 531-6896
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3614
AL
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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