Organization
EAST BAY COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA REDDITT SUMMERLIN APRN,CS,LMFT (PRESIDENT)
(251) 928-1658
Entity
Organization
Contact information
Practice address
50 S GREENO RD, FAIRHOPE, AL 36532-2069
(251) 928-1658
(251) 928-1371
Mailing address
PO BOX 414, FAIRHOPE, AL 36533-0414
(251) 928-1658
(251) 928-1371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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