Individual
MS. PATTY MACDONALD CUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
1900 14TH AVE S, BIRMINGHAM, AL 35205-4906
(205) 933-0338
Mailing address
1900 14TH AVE S, BIRMINGHAM, AL 35205-4906
(205) 933-0338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2992
AL
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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