Individual
DR. ASIA JULIA GORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC, LMHC
Contact information
Practice address
5414 COLONY WAY, HOOVER, AL 35226
(205) 722-3009
Mailing address
5414 COLONY WAY, HOOVER, AL 35226
(205) 722-3009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH5297
FL
101YP2500X
Professional Counselor
Primary
3372
AL
Other
Enumeration date
06/14/2013
Last updated
01/09/2020
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