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Individual

MRS. ALICE HAYGOOD CHURNOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
2204 LAKESHORE DR, STE 212, BIRMINGHAM, AL 35209-6729
(205) 879-7500
(205) 879-7554
Mailing address
2204 LAKESHORE DR, STE 212, BIRMINGHAM, AL 35209-6729
(205) 879-7500
(205) 879-7554

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2469
AL
101YP2500X
Professional Counselor
Primary
2469
AL

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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