Individual
MRS. ELIZABETH MARIE GERVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
547 COUNTY ROAD 1224, VINEMONT, AL 35179-6595
(708) 699-4480
Mailing address
547 COUNTY ROAD 1224, VINEMONT, AL 35179-6595
(708) 699-4480
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
A131
AL
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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