Individual
MR. RAYMOND SCOTT STATHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.P.C
Contact information
Practice address
1504 SPRINGHILL AVE, VA OPC, MOBILE, AL 36604-3207
(251) 219-3701
Mailing address
711 CEDAR AVE, FAIRHOPE, AL 36532-2840
(251) 990-7351
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22218
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
293
LA
101YP2500X
Professional Counselor
1570
LA
101YP2500X
Professional Counselor
2309
AL
Other
Enumeration date
06/15/2006
Last updated
09/11/2025
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