Individual
ROSA M. STATOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
405 S 8TH ST, GADSDEN, AL 35901-4006
(256) 490-0073
(256) 261-2440
Mailing address
405 S 8TH ST, GADSDEN, AL 35901-4006
(256) 490-0073
(256) 261-2440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2169
AL
Other
Enumeration date
06/08/2013
Last updated
06/08/2013
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