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Individual

MRS. ALISHA LEANDRA PENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1900 14TH AVE S, BIRMINGHAM, AL 35205-4906
(205) 933-0338
Mailing address
1928 3RD ST NW, CENTER POINT, AL 35215-4408

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05045
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C3646A
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
01
LPC05045
ALABAMA BOARD OF EXAMINERS IN COUNSELING
AL
Enumeration date
03/05/2021
Last updated
09/28/2023
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