Individual
MRS. SALLY SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
4193 US HIGHWAY 11, SPRINGVILLE, AL 35146-7332
(205) 531-6896
Mailing address
4193 US HIGHWAY 11, SPRINGVILLE, AL 35146-7332
(205) 531-6896
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3614
AL
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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