Organization
ALTERNATIVE CHOICE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI A TUBBS-DOUGLAS BS/LADAC2/NCAC2/QCS (DIRECTOR)
(731) 784-8814
Entity
Organization
Contact information
Practice address
1309 E MAIN ST, HUMBOLDT, TN 38343-3327
(731) 784-8814
(731) 784-9920
Mailing address
1309 E MAIN ST, HUMBOLDT, TN 38343-3327
(731) 784-8814
(731) 784-9920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017854
—
TN
Enumeration date
10/17/2011
Last updated
09/17/2018
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