Individual
CORLISS CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-4058
Mailing address
2501 WOODLAND RD, TUSCALOOSA, AL 35404-5028
(205) 348-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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