Organization
FOUNDATIONS COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY DEAN JOHNSON MSW, LCSW, PIP (PRESIDENT)
(256) 497-3147
Entity
Organization
Contact information
Practice address
100 HINE ST S, ATHENS, AL 35611-2302
(256) 497-3147
(256) 230-0541
Mailing address
22176 SARATOGA DR, ATHENS, AL 35613-2318
(256) 497-3147
(256) 230-0541
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2342C
AL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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