Individual
MR. JERRY MARK MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3510 MONTLIMAR PLAZA DR STE 100, MOBILE, AL 36609-1746
(251) 380-0215
Mailing address
1140 SHILOH CT, MOBILE, AL 36609-3069
(251) 380-0215
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1557
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1557
LICENSED PROFESSIONAL COUNSELOR
AL
Enumeration date
07/13/2012
Last updated
09/27/2023
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