Individual
ANN MARIE NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N MAIN ST, ATMORE, AL 36502-1712
(205) 575-3611
Mailing address
100 N MAIN ST, ATMORE, AL 36502-1712
(205) 575-3612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4265
AL
101YM0800X
Mental Health Counselor
Primary
4267
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4265
ALABAMA LICENSE
AL
Enumeration date
04/08/2020
Last updated
04/08/2020
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