Individual
MRS. BRENDA LOU MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 422-4697
(205) 655-3851
Mailing address
128 N CHALKVILLE RD, TRUSSVILLE, AL 35173-1373
(205) 422-4697
(205) 655-3851
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
L288
AL
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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