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Individual

CHARLES OWEN GARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
303 HARGROVE RD E STE A, TUSCALOOSA, AL 35401-5029
(205) 310-0497
Mailing address
1328 SNOW HINTON DR, TUSCALOOSA, AL 35405-8804
(205) 310-0497

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1127
AL
101YP2500X
Professional Counselor
1127
AL

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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